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<br /> AppLJCA7rON FOR M Mw
<br /> AWS 'SANlT
<br /> " +r r ATION=PRMIT
<br /> ti r mplete 1`1 Triplieate) c" perm
<br /> -•.. �hr``�w�fV y�a iay� Q�-$ w K - �1�,��1�,2r�, S�' ..
<br /> 1 ,1 7h1s permsExpires 1 Year „7
<br /> aN l:sued
<br /> PP'cation I[fltl From D Q i
<br /> on rs;Hereby made to the San JOaqu,n`L ani Heath QEatrrct,fo ate ?'
<br /> described Thls'c'apphcat�on`!s Y' ermrr'
<br /> �d made In com 'lance wt h f � toy;constr ct a ns a or h r n
<br /> , ,.: P County Ord(,�ncnce No1�5.l9 arid�existin
<br /> OBS ADRE55/LOCAT'ON
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<br /> Owner7NamcC7c� 'X.sC�e> ` gcENs TR
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<br /> 9 �� a I?7C.sE?A «� �jrrh* � one
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<br /> Confrtor
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<br /> ac ' 'Name ,�.a•CHy T��
<br /> � /! e I�rr" � ii++wt�c"en ealE> '
<br /> lhstdllptionlwili;.serve: A x,etaw� a
<br /> Mns ence 0 AP men Hawse t
<br /> P. 1V10 el fl C merclai j]Tra ier Court
<br /> Ther ��
<br /> umbo of i,ving fiunit' ` a ..
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<br /> bedro '
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<br /> Water 5 ' yrs arbage Grinder Lot Stze
<br /> PPiy i ubllc System and name%,fti�. ti sI 4
<br /> Choi01, � 1j� bl k} `3{
<br /> C. gE �
<br /> acter;:of soriyto a depth of 3 feet and
<br /> o silt❑i it o
<br /> k t�AK loa C
<br /> Ym r ��aY Sandy m
<br /> �' Hard Adobe rx, ❑ m.
<br /> rx� r�, pan F111 Materrol u If yes
<br /> $t: 11
<br /> ary r•„ �' a 'uw ., PeE
<br /> Plo plan,, shown'g size of fot' loco tran of`system in relation to;weps ,bulldrngs etc. m sf'be placed on rse
<br /> MEW INSTALLATiGN li�loseptrctank�o:�se page prf emitted f blit'iewer is available wlth�in
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<br /> rysa�r s. z1 t 7P
<br /> P; tCAGEj7REATMENTPs�*
<br /> (' SEPT'C TANK jrjXl � +5 et
<br /> �uSze 75'7 1"'G!'�9dLG�7Ccf L
<br /> A„ Capacity ��:1('� Type �r'Mort& ' ` q i D p
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<br /> Distonceitoaneare4t Wel'f
<br /> Na I Cote
<br /> F.v§ a p rtmenta.
<br /> * r'�`rL:ra tYdt ,})t ct� },¢ trds' a FOUndatFOn { �
<br /> LEACHINGLINE 9[ ) rNoftlrnes,`4,irf ��t pals x ,.,r +a k s sr
<br /> Prop, Line W ,�
<br /> ,; Length of each Ilne +�'�Q: � �!
<br /> foe 5 Q '.BOxT YP d 1 F x`
<br /> .F ''yA Ji+t tta 1-vl.�w gAa 1=11ter'3 L'Y a'3 h��.,Materlal�uc 1C'�� Depth F,Rer Mpterial _
<br /> Drstarice tonearest Wel' � r:'' '
<br /> Foundatran k
<br /> SEEPAGE.?.PIT x J-t`er t Prcperfy lin
<br /> �---- j Depth, h g.�b Qiameter, ' 9 � ;
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<br /> t a ater�Tob'e.�Depth,2' " i�"4 4x , i",4 �t
<br /> Rock Size '.
<br /> Qistance to nearest
<br /> i �a'`A1=4a 4' 4 -n r�. - z Foi}ndatlOn h prop,
<br /> REPAIR/ADDITION'Prev Sanitation Permit# �r' g no
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<br /> 1 f R �! yt li 'T•, 1
<br /> r�`� 3 � Dates
<br /> eplt Tanks S ecify Req t I
<br /> 1 P ulrements)i gat �s}x = 3i g k
<br /> QinamadFreid
<br /> F ecyfyj equlrements)
<br /> S�y ��4 E���/_ .��°U•'Fh�r ,V rY � .�E �
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<br /> t_ 4 f 3�'dsJ,a"!,, yt 'aAat i./'3�y �,F �� gyp •' +.. f 4 Y'A
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<br /> [Draw ex'stvig and required addition on reverse side
<br /> hereby certify 'hat.] 'rave r p br„ucs+ q s E i? h s r
<br /> p=+ ared this appileationandithat the;werkwili ifetlone in accordance fh a}t
<br /> Cou ty j?g,arr�esRState�Laws sand fi
<br /> r n' r, q ule:�n Regfiufahons of¢the 5a�`Jo�gu�n'�Lo�cal HealthrDislrfcf. iiomi ov►�i`i e
<br /> steel agents signature eert,fres the following
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<br /> `} er'Yifylthofin the`k `@rfer/17CR "� j �tm �is d
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<br /> " rod h h� 4 P ce"of the workfor�whtch his pormit is issued i sZ, SIN f
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<br /> to become. ubiect,to'Workmon s Com a rempioY any penen tt-suds nen
<br /> � P nsahon laws of C + N
<br /> 9 �- a a'rformtr 4 y r
<br /> 5i ned� � q 17 rr TQ ut 4 �S t e n� tMc �
<br /> B 9�� C'���,�•/ � 1 � E Owner `•��,�a`;�,a� �
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<br /> �•,�� raY•`�r.��'�� t pR pE�pgRTME�rT USE ON�LY�t�;3��� �: �?`�
<br /> APPCICATIO:�F ACCEf',TEDiB_4',
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<br /> 9ITtl DlNGPERJVIIT l55UED ! •� �k,A , ua
<br /> QpITiONA'IVYC ENTS
<br /> Flna''lns'pection
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