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<br /> Air't"I'riCA.rTiON-r•FOR.�SANITATION�FERmfft; ' r a' . Perms# No.
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<br /> DupGcatey
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<br /> - t ? x} =Yf�11' ix n7+ li L. T .aY . �n'}i ' tr;r ��� a 1
<br /> App ice ion Is shera�ymade+o;tha�San.,'Joagwn;Local: ealfh Dis+rict for,'e permit to consiruc+end,knsta f s r rein: escrr d
<br /> Thrs'application'ii mads rn compliance�wr+h Coulriy.Ordlnan�e Nay_549 r 4 vrrc ,"' 1
<br /> OB 11DDRESiAD'r 'OCATf " �% � ?
<br /> O ner`f ams: . `rlrerK .... ��ra ;?.:
<br /> cress..
<br /> ConracfoZr?'rs
<br /> Ins a la+ion wrlflserye° Resr ante [] A'per}mantle ,ouse 0 Commercial r[]�Traile� Court Q Mofal I }!1e r
<br /> ut�mbe�r a,yyggl�� ng units /. um ,ar�ofx a rooms", .. um a�r'of`bafhs V:'Lo 3s�i e' .yy. �I
<br /> We er Supply: fubl sys em . Community sys�m�0 Private, Depth GoMiterAU 100 91
<br /> a I ; rR', .4a +
<br /> Cheraeter of soil+a-a-,depfh of;3,feef .Sand ❑ `_Gravel,F, Sandy,Loam©+ Clay Loam [: ,�C ay�❑. A 0 e: a,
<br /> r�;� �• i '" �rr�ax�
<br /> r Preytous Applicaficn�IMede as,: o'er NewiUonsfru�'d iion:gYevE1 k No E9--THA/VA
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<br /> TYPE OF�iNSTAl1ATIANDjSPECIFICATION$ n 5r'
<br /> ar4b 'WW Wr :hdf `F D"Ja 5 •^Wr'r a *u
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<br /> (No septic tanky or cON
<br /> esspool permtlfed,}s.f ptlblrc sewerJrs availat:te w;fhin 29,
<br /> Septic T Drstencefrom;noaras4(well'� �DistaVILnce frorn�founclatron "{ Metsrre
<br /> 0 No�tof,Scornpar}men+s`'°i '`� *Size�� "�` ' L�Guid depth'' �� Capec;
<br /> r 3s,ts"1xTrkc"' "a' i s j _°P.^ :.i rti r P�..,y ft .
<br /> Dis 0 .Fr91d"9 Distance"fromT'nearest,wei t. > rSf�Dls+ance from found�tron yrs}once to•neaiest'lo me.
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<br /> Number o{ fines ✓ y t t Length of eac 11ne +h of�rtc
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<br /> T e of7fil}er.mata lalfl. ,r �it De th of"tiller material ... To+a! long h
<br /> Seepage;Pit, { Dlsfkan a to r: ndatlon..,&.� DrM ter o nmares o in
<br /> ern L7r� r�r 'xts�.
<br /> i� Number of Arts_ �g Lln ngnma e�ra� O.G/�.Slza Diameter si�Dep i �.
<br /> Ges poo { Dis}ance�rom;,nearest well Distance14
<br /> from foundation Llrmg material `
<br /> $ a r -. 3fi3a , ear µ ayax +
<br /> d r . Depth ";' i� cr Ligrrd Capaerty gas'
<br /> v s. szize a lame}er,,
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<br /> ;P,r;r k 61s}once fromneeresfwo�liV.7,
<br /> ? DIS+encs from nearer}�bultii;ling r
<br /> Ji. Dlsfiance In nearest{.lot�l ne -: !. ... X .* .., y
<br /> emc elfin andr { MR
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<br /> �liherob��c&ify,+ha�'I'hava prep�red,.lhrs. a, a+ion and thatIO' ,voriiwilt.be'dnna in accords ce, r+h 5a oaq i� Co
<br /> ordinances fefe
<br /> laws¢and r [es end regula+Ions of.the SanxJoaqurn Lorcet Health Drsfncf .�
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<br /> {FiofLpen owrngjtace,of lotfioeatien'of sysfem In isle+ ldm
<br /> rondo We-'s,?bulgs, efe, can be place oir re ease` sld6,
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<br /> ARTMENT US['ONLY:,'
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<br /> APP UCATIONrACrEPTEQ,BY G ti f3A,E �
<br /> DATE...
<br /> REVIEVS�� 8Y1°�fM( fSFt`4 Sy r iik1
<br /> BL1IL6iPf -PM fl ISSUED r " ... "' DATE aT
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<br /> * � 1, .�„4'r ;„ SAN JOAQUIN LOCAL HEALTH DISTRICT.. . e `
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<br /> l30,SoufhyAmancan Street 300 Watr
<br /> oil:Strait fi 13Y Svumora Street !r4 Nhor4n� C"S4rMf fir.
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<br /> StocMton ,Cori forma Lodi Cs Iforn a s Manl.0 Call{ern a Calrforn:a r
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