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Page 22 of 51 <br /> RM office lr99. APPLICATION FOR SANITATION Pimm <br /> lCo"Paqw,In Triplicate; pourmll No- 21__17" <br /> ....... ...... This Isonnfillhuisfirim I Yorouricrams Dale lased Daft <br /> Appkca:d�on Is hereby made mi the Sam a Local Health District for a permit to conlitiii,and Inot'll the weel, harch, <br /> a'�b .This application is cno4o In 9 <br /> d =p arma,with County O'dironce No. 549 and"lilt" Rvfet and Itagulatiormw <br /> JOB ADDRMA0CATjQR jeii�' . MISUII yltAer ........... <br /> clw.•nw'% Name tuft,04...— ............ ...... <br /> Addre., aTo?3/ MY <br /> Contractor's Naffis, ................license license is Phrew Z1v5u;.'1L2 <br /> lnglaiiation will serum Rolld"WRAParimmal Houseu Carrawmal arnalIK Ca"t <br /> Molal[I Odom ... ................ <br /> Nombstr of living =Ill. Number of bodsommal :7­__Garbqgw,Grinder LLW$dl* ...... <br /> Water Supply,Public Sy~and rucurno------......... ------............................................Pti"ift <br /> ChW40"Ofsailladdepth of3feed, Send* $140 CJ-YQ PWO Sandlyt.0 ClayLionto Ar <br /> Hardpan 0 Adobe 0 Fill Materiel......__if y",rypq_............. ......_. <br /> 401tot plown• showing else of lot. Jeowlan of sWerom In malogoo to wefts, bulldlmgs, etc, must be placed or, reverse iselit.1 <br /> NEW INISTALLATNIM (No sepric tank or seepage pit parrolift,; W pubic m,o,Is a,allabig wbfira 2W jactj I <br /> PACKAGE TREATM 1) SEPTICTANXt) Skov.."06en............................. Liquid Depth, ._..% ..... IL4 <br /> Capadly Type ACA&Z.,MawAoI-(!*K4**;rw. No. Cofflifearrvicomma 'A-1_Le <br /> Distance ft nearest Well .,.J <br /> LEACHING UNE I No. of tines ffit'.. . Length of oath I(M.— > Prop.vM./FSV.--" <br /> _J�......... Total toragib <br /> '0' so* .1 . TVJ3. FlItiff Motallioll FIFfair Malarial _ "/r ­­*................... <br /> DI <br /> SEEPAGE P17 slasnon to onarest, Welt 111-a.......... Facmderrict. ........... pv9plww Line <br /> I <br /> Depth ........... 01shcomitir ................ Rhambes- .......... Rock Filled Yet 13 No 0 <br /> Water Table Depth __ I ­­......... ............. <br /> 08trancals;namost Well ............... <br /> .......Frovaclartim Frop. Lim..,................_.JI' <br /> tD <br /> RIPAIVADDITION(Praw.Scumillation P"It .. ....... ......Date_...__..__.-..-..............._I <br /> Septic tank Ispecify*equirelonewool <br /> ----------1.1..........—..............—......................... <br /> Disposal Field (Specify Requirementsl ............. . .. .... ...... .. ......------ <br /> .............. ........................I <br /> .................. <br /> I&aw existing and"llulfee addillon an'aramrso lids! <br /> I h-1-16Y c"Ift, that t hoors,prepared this application and that the weds will be done In accordance wilds san haqw1m <br /> COWY Onlilancal, State terms,and Rules and "whallomi of Ifio So.Joaquin Lane$Health 01,mid,Home corner w f4c" <br /> 'ad 01-4 0911-wor"1411firs the following, <br /> "I comity chat 1.the P'nicM.Nue of the wads 6" hich this p4mill 1.h.-oci,I-hell our cospion,any Pori"In ouch manner bus.au,..b�ocr towomimuccov's coompeaselion raw,of California." <br /> By �.L9pp <br /> . ..- . O"er <br /> .. <br /> tif other than mumard <br /> APPLICATION ACUPTED BY. C:��TMPARTMEWV V39 ONLY <br /> 81JILDINO PERMIT ISSUED ....... DATE <br /> ADDIRONAt COMMENTSDATE <br /> Fin"I I I.jp�ijon by; Date <br /> - <br /> Eli 13 2b 1-6fl Rev. 5M SAN JOAQUIN LOCAl. HEALTH DISTRICT 8/711 3H <br /> ?/2011 <br />