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� f <br /> ^�JJ/�Ipry`t.=FIC USE. <br /> .. rpp y! <br /> FIE' APP�61 4nON FOR SANFATIOv r�.AMFT Permit No. .l ` <br /> 1 � (Compbfe in Mmke%; Date issued <br /> .. p ..r!�. This Cw,ait Ex jjes 1 Ywar From Date Issued a <br /> Applxati:ae, is hemby'rnedn to the Sen Jcaquin Local He*% Dis#rict for a permit fe construct and instar the vrwtr'rferein described. <br /> Thr applbc-Ok" 1s merle ir,compliance v4A Covaty Ordinance No, 544. S od X S moi' <br /> `JOII AMBS AN9.'.00ATRON •..ttfYxt i .._ ......../�t .rlr.. , � .!f -._ 1 rr _ w. .__. _.._•.. <br /> . .'.��':.-2asrxr.-..__. —.............J......... <br /> ,_......._._»»...w. <br /> _...�............ <br /> �.. . ..,. Pf►oi►s tZ-' '� <br /> �a SSM� -'W*t KssidWAS C7 Apartment Hausa � Commsrc;el 0Trailer Court ❑ Motel (] Other M �NNrP <br /> �` " t Nutrsbir of 1`r'1nq N.." of bedroams........ Nvnvbar of batifs ...___. Lot sae .�� <br /> - <br /> Waiat 5upphrx `PrrbliC sy�s#am ❑ Corrinity system o Privafv® Depth to Water Tabs .. ft. <br /> rtlu <br /> -' y Adobe Hardpan <br /> a r�, aild'aGtal of foli jo er dhfth of 3 Neff Send 0 Gravel❑ Sandy Loam® Clay Loam ClaY❑ ❑ <br /> Q k <br /> t.Prpvrsus Appkation Merles Iif yas,dota:...................i No ® New Construction: Yes M No 0i}iA/VA_Yes 4 Y <br /> ]YPE DF 1N55 ALLAr10N`ANO SPECIFICATtONS: <br /> �l�tt �f&A Or if bPrc sawsw Is evailels<e drMie�ZFIO feet.) <br /> d z [l�le nsY � o falmdation /s7� ._t�ftatsriafQlsi[�` rC <br /> Septi Tanis flistanos from Distance from rynn <br /> 3 caped id y ty: »No. ofwprtments»a <br /> v" .._...._ ..S <br /> fL <br /> a,06posal'fWd Distance from nearest well.—­—.7.DisEanc6 from fo+fefdatiaf... »» _Distafxe to n*eresl bt I"at.►.�. <br /> Number of (iffas.: .Length of sa:h lino. .. Width of trenrlt = t <br /> it der ��3s� Typr.of afar material.,�i�.1 s t!.l7sp#h of filer material.».�3 Tofel leng#b1'QI?Q.s�l .«T <br /> .' pe4� Pi# r Distanta#o nearos#rvsl�» »._ ._Distance from foundatior­,...��.......rDistancs to nearest b,T fu►e <br /> '. ❑ " :Number cf'pits-.»».w. ....T.L1riflg rrsotrriai ..��_.« .5'ae: D'femater.._ �. .. Depth----J . �. <br /> r Crsspod Dislanco from nearest well............._Distance frons foundetiorf..,----.Ling material.._.......—... .. - : <br /> Liggvid C4pa6ty— <br /> r° 'pDisfa►se fro±lti naarast w�.� »._ _ �. •_...... Distance it= merest 6vildirlg.».___..^ <br /> ;� ❑ nistanca fonee lot lina.�.�.. ..W .._. ... ...... ._. <br /> ,X. <br /> ftan►od811tig <br /> µ appTieatiaef ae.i fleet thr r.orls+r bw chew in acoordanrs WA SM.f"a Cowd1t <br /> �8 kw% and rules MW r"raqulatwrn of the S" 3aogvin Loral H"Ith Dhhkf. <br /> {i4•�', • *6 4`ef. in elrisfion to wefts,burZat9s.i�C.�Carf pIRC�an 1'eYalst♦fli�a . •-r Y <br /> R QEPART fMT tJSE ONLY ,44 <br /> �fl t ,'APgt 1C ATIONR/1C DATrJ.. <br /> � SI3iLDiNG PERMITiSSU'd?—� ........» <br /> .� _M........».�..._. ................ •�DlfkTf:... � --,.._, of <br /> ANAL INSPECTION.flY: ��,.f. "�1��.� Da#a. .�Z�/��k�*� _ _ .. .. • { <br /> ` SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1�0 sMnM 11 Icwf t*M) ]OP vft"ask$rwl 124 src+wwe snwf 20s w"N q*0.00 <br /> fs.an.a terAFnrai. <br /> LOA Cool vole C8111*'.10 1"Kv.t. fWaf. <br /> [s+ <br /> 9 atneco e.ss:f+a•as Anne <br />