Laserfiche WebLink
6 1�-��� N%.1-0 <br /> FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT <br /> Date Issued 11-­O:_72� <br /> This Permit Expires I Year From Date Issued <br /> Application is hereby.,made to the Son Joaquin Local Health District for a permit to construct and install the work herein <br /> desoribed. This appCj�crtion is made in compliance with Count� Ordinance No. 549 cm&,existing Rules and Regulations: <br /> =w ------------- <br /> JOB ~`"" <br /> 1 <br /> �o � <br /> � ----- <br /> Water 5up | <br /> CharactIf--sfoil to a depth ?tf 3 feet- Son 0 Silt C/by E] Peat E] Sandy Loam ff� Clay Loam 0 <br /> �w <br /> (Plot planThowing size 1A IloccI.IliorRc�f +/sfem in rellhtion to wells, buildings, etc. must be, pId ed on reverse side.) <br /> NEW INSTALLATION: (l4a septic tdnk or seepage pit pormitted if eublic sewer is available Wo feet,) <br /> � <br /> w* ^~- ~ ]' -- �- ' �M <br /> P� <br /> � <br /> Distan( Al <br /> Depth Filter Material( ^ " � ` ���� <br /> �� � ,� <br /> abre <br /> feto <br /> 6nearest:Disian � <br /> I | <br /> th. Septic '"' \ <br /> � <br /> � <br /> � <br /> Disposa -ie <br /> ------------------------ <br /> (Draw existing and required addition on reverse side) <br /> � ourity rdinances, State Law-`­s,_-dn2_Rules and Regulations of the San Joaquin Local Health District. Home owner or licen- <br /> at employ�cmy person in such manner <br /> 'certify that in the performance of the work for rmit�js issued, t Ag <br /> �w ere ertify that I have,oklig"re4 this application and that the work will be done in accordance with,Son Joaquin <br /> ~`�~ become subject- - '-�--- Compensation <br /> Signed -- _ ---------- - <br /> _-------�-_�--_-----�'��� \� <br /> \ <br /> '--_---'-- <br /> o hthanDy ' <br /> FORDEPARYIAENT USE ONLY <br /> LBUILDING PERMIT ISSUED ------------- --------- ---- -------- ------------------------- ------------ -----------DATE --------- -----------------'----------- <br /> ADDITIONALCOMMENTS --------------------------- ------------------- ------------------------ ------ --------- --------- <br /> _-_--_�--_-_'--_--_'----^---------� _-----_--____- --- - ---_---_--_--------_---_---- <br /> / '-'- ---------'-----------'---�-------------� ------'�-�-�-----------�-- <br /> �� _-_---_-'-_--'-_ _-^�_'---~------�_----_--_� --_'---�-'-- ����---^�-- <br /> �no| |n�Pe�Mnnby: -----_---_--_-__-__------------_--��\�1.�6[ �l-�----�Do�e --l��(Z^-_---,�__ <br />