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<br /> ppl€Cat on is here yymbde io the San.Joaqum; ocpf{Hea thD,strict for a�perrrnt io construct andihstathe wor here e cri ed
<br /> 7h,s Gbplicct,on in compliance w�th'CountyOrdinan e;No 549 antl east nRulez;dnd RegOfations:`LENSDDRES5 "4100e
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<br /> Ins o a ,an w serve: Kesir+r e❑ Apartment' o se[j Commerc a;® Trailer oTirt
<br /> FAote�''r] -
<br /> er�ofliMum zr,.of:bw rooms: Garbage,Grinder Lot
<br /> a er p I ,u lit Tatem and nnme
<br /> Cha? Iter ofsoll o a;�lept't af,3feet ,Sc +�7
<br /> Ill.[� 0 Peat`❑ Sancly Loam
<br /> "a dpa'r:Li:t] Vidor e Fill Materta Ifes type`�r •�" °� Y`
<br /> e{ ,Narft m.FxfE+I' '�Y�''d�rm" l� iPY• r -vlt& s. 3 -7! ',.
<br /> Pot p o howiri�,,lzr of fora1OCdtion"of. ysf m in eliitionito welts;bu�ldmgs;etc�inusf.be plat d on" "reverse sic16Y-
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<br /> FW MS!ALLATION ,�o sep rc tank or seepage[phi perm,tted if pu'?lic sewer IS availabe in7,t ,n4200 ee "]
<br /> A`CK/a�sr TREATIilI2T,'T [] SEPTICIANI [ ] ;t � Size � g�� s � rsliq i�Depth
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<br /> ' CaFacitY� , 7ype Ory, Material.' aii r: r:� NoCampdrtments ? ?
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<br /> Dis�ance tc nearest: Well: �� �:p + Foundatio t^ .�.cProp
<br /> EACHI G,LIF c No ofa�lines �* Length,of each line: ti+ w�:. aTotal Length
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<br /> q U LOX 41ype Filter:Materimm, '.. Uepth Filter Material
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<br /> Distr•ncetn n6arest Well .Foundation� � y Property Inets y
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<br /> EEP GE.F'IT , epth $piaee " Num er �s �ti "�w Rock FillYe yqa +
<br /> '!Vater IablejUepth _� ��Rock'Sae�
<br /> DistanteAto nvarest Well sxv # Foundation �t + ti Prop rline4
<br /> EPAIR AF1DITiON (wrev Sanitatio`P�erriiT:477VD"Tater
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<br /> Thereby4(�certI y[Flat I have prepared this application andtthat tf+e work�'wrN+be ""'An accord'ante wrtn- of Joaquin Ceunfy� ,
<br /> a1lY�ralle .rd.Wi'�x:er dk..,a ,.r� 4z ,a 5�s'-�r4' ^c.Irl•+ +� xrf t. ,n••µ :l mw&ma++v &WAM- `i
<br /> Ordinances State laws,' and Rulesand Regulat`6ns a! fhe�SanJoaovinxlocal Heallh.;DrstricfHome,cwr,-rtorlice' ie agents.!
<br /> signature eertifto`s'the fulfowing: t r „ T��
<br /> A pt in the, torkfor whichthis ermitisued tAshatl not mploy anporson lntsueh manner Al P 4 ; r
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