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MR-offla USE: <br /> ANU"volm FOR-4 WAUM PUM <br /> Iceffitplel.1.upricalvil <br /> ............................ <br /> IPME Pe"AtrEXPiM 1 VOW 11MM DWO kjVed <br /> Application is hireby mie&to the.Son 1"6st,iocaj Health ofstelct far a pernlit to Con <br /> I*Ud ancl instaiF flee work hifil; <br /> d8i"44d.This WRIkeson Is mode in c9mpliance with Camly*r0nonce No,$49 ;sting Rums and'P(*WWIw;-, <br /> JOS ADORMAOCATION CEMW TRACT, ... <br /> Ownct's Name .... <br /> J�,.......City <br /> Instaffaiieft*91 wv*. RosiderW]rAvartmem Hov" Cornn-mcdol Orrjjllp;c,.,t a <br /> Number of living un;4, of wo, <br /> Wow&,Pplv-Public . Fivcft <br /> Chorevief of <br /> — " ' ' V. <br /> 3641 to a Swed 10 fo*t- SWVto Cloy [3 Pee 0 4si6d'v L?Q.C] "Loom Ll <br /> Humdpono Adobco fill IF yn,:4W <br /> MW pian. slowing jibe of ho, lomion of syt*rW in reallan to weth,btritalittgi, est.-must be phtwd an 4raverso sk%J <br /> NEW INVAILILATION.• (No septic ionk or qm.ot perm'itted it P414c S"'.'I..1loble-.w.200 fect') <br /> PAOZAM TREATMENT SEMC TANK <br /> We......._------............... Ctquld Dap4h,......... <br /> Co;.0c:K --.... I .& <br /> y • ..................... No. C"npmwvi enfsi --------­------ <br /> Distance is hv�fWt -Well-........__---r__. ......Fouridation vftp-Una <br /> ILEACHINGILME (ILIANO. Of lines taftO of each line- <br /> 14 4'P.Box--m-1-1--TYI*Alkr AKwfw40l Filter Material <br /> D'Itufte to ftedfeth W4II __..-_.--..,._...__.___--'Foundation Prop" Line ...................... <br /> SWPAGHE PIT 1. Depth ___------- marnefor Nurrjx. <br /> Rock Fitted Y"C3 No C <br /> Water Table <br /> Psionre to nomsti Well ...... Foyndolign lk" <br /> !!tAL11/AVC=HjPvaw,Scnitmicn <br /> "ic Tank{Specify RewAsenn-nml <br /> ..................... <br /> Diwasal Field F49acify R@qv;remcrftj __:47 <br /> 3c -.40 <br /> AIIJIL <br /> —------_----_-------............... --------------—­....... .......... <br /> *P4 required mWithm on reverse&Idej <br /> hwqby MIRY ftl;'hm*pr"KMW WO OPPI'lloOncew-OW theil the wart wlilll,-be dome In mmmdance-�tfg Sb. <br /> C*Lqft Owdino % Palo Lows,01W Rulesand RWAt 'e'l the,SAin Joccliln Low"*am mamd."Cana'awner at llglffl. <br /> sed agents signiors c*Mfirt.0w feiLpwhV: <br /> "I cony IMI In tha Pawfaftwowto of edy WGffk for wwch luspermll is Issued,I Own not emplaw asyf psmems In such Womw <br /> as to become sobjed to Ww&n%tWs C*j*p**soj6"laws 0$Wjf*ffbhL­ <br /> St ................................ <br /> By .............. 11ft ....... <br /> Ile <br /> FOR DWAIIITMEW tW CWLY <br /> APPUCAltION ACaPTED ......... ...... <br /> BUILDING KRMIT MUEO... ...........­ <br /> ADDITIONAJ(�OMMENM ................ ........ ...... .........._,DATE....... <br /> ------------•---- ...................­­.­................. <br /> . ......... ........ <br /> —---------- <br /> ----------- <br /> - ------------------------ .......... <br /> SAN JOAQUIN LOCAL' WEALTH DISTfUCT <br /> E-K 9 W69 Rev.5M <br />