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FOR OFRCE IM: <br /> .......__•,..-- ...... ...... APPLICATION -FOR SANITATION PERMIT <br /> (complete in Dopketel Deft limed <br /> TKs Poomit EnjtLi I Year Fran bate,Rued <br /> Application is Hereby made to f%w Safi J"quin Local Health D;sFrict for a gmtwrit to conftcf and inMM6 w9A hemift downled. <br /> 1�1 acwtian A MWO in*&TVUS 'th County OrdinanceNo.544- <br /> JOB ADDS= AND LOCAT16N .a-iia <br /> ow"t's,N <br /> ACt4jYM, ......-------- ...... <br /> -------------------- <br /> Cqn�facfor's <br /> Infautian we,tered- Reside"ce Apartment . <br /> R. CCMM*Tt141 C3 Toole Covt 0 motel 13 (>halr 0 <br /> Nwnber of living unift:-4 Nwilw,of bdrod-& LC4 CatiZ .................. <br /> Water SuPpir: "k w"Iem C) C"rnwilly system C) Private[!f Dop*Ca'Weer Table-,-,, ft. <br /> 0aw-for of tog to a depth of 3 4#*P Sand C3 Gfevet L3 Sandy Loam[I Cloy Loam 0 Clay 0 Ad&*E3 Hotelven 10-4- <br /> PrwAcca AppLcormo Mads: Mwi.dwer _4 Pao[j NewCcnsfmctian- Yes E3. karl MA/VAtYes[] 14bo <br /> TYPE OF H6TALLATION AMM SPECtMAUM: <br /> (No septic twa or W-V"l Permitted if publk www b awd&ble vown Zw feet-1 <br /> 'wk Tani: Mftar4o,from ft.awa%0 well—__Wislaftce fmn" ------ <br /> a No-454 <br /> Is neor <br /> nearest from fow*&f;oa ./0P..' __D106"A to <br /> Nuft%6&r of Long+of each of ----------- <br /> -Kei,__lh.,X.:.,,Depth of f9tv <br /> Type of filftr mate <br /> s.;K.IM: D;sfe-Ko to newest-ell.,. 4-0.0!Mislance from n0&ent lot <br /> Namber of ().ametot 3 Dv g 6-—a—A.......... <br /> Cesspool; Mfence from nearer/we.......... frorn Fokimdai ion.-_ nrhteria <br /> l <br /> 0 .......UP.A ...............galt- <br /> Dittar-to from nvorwo feem Await <br /> INstonew 0*neamit loi Efto......................—...... <br /> Ptmodig;ng.and/cw repairing ............... <br /> ..................... <br /> 1 IWOUY aeogh IMO I how WA SM <br /> A 4 <br /> prop4wod !;4Wcolion# Ike t6 woolt w;O be Aon*-94 accerAwas JDP:L.% <br /> 0460"CeS, StdAV'VVN F0 ti*ft Of the SM J"qdlfP t6gMi H"fth trflftiO. f <br /> 'a <br /> -J.- ............. <br /> 6Hen to wells.&MmSF,ob-can be placed an reverse tide}. <br /> DWARTMENT U%ONLY <br /> AFTLICATION ...................................... .......... <br /> REVIEWED ...............­­-'---------..-•--•-.._.......... <br /> BURDING KRUIT <br /> Ahhotafions and/os ......................... ........................ -------- <br /> ............................. ......... ....... <br /> .......... ................... <br /> ......................... ...... <br /> ...................... <br /> FINAL 1N$FE-_-THUN ....... <br /> SAN JOAQVIN LOCAL HMLTH 04STOW <br /> 14e I k sasawlfrw A. Joe Wen Gwk sieve. M W-0 Ilk%w <br />