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Page 43 of 44 <br /> �Ok OFFICE USE: A PPUCATION 50R,SANMATION FEWIFT � <br /> P1rm11 Na_ <br /> ICamplelo in ir:piTtOl'al <br /> rN( ml ParmFt Expires T Year From Chale illued ire Issued <br /> Apt�iccahi4.� is hereby mnd*to Cha San 1,-,nquin Local Heaftdt District For a permit to construct and =nstall the work hervm <br /> deS,;F;tU-d Th;s opvi=collgn Is/modo in:Qrnp113pnca with Cbuney Cecddnonre fda. 5A9 and existing RUP.6x-and Regula ioml! <br /> .OB A0096S,'IOCAtCtN Cir /7 �"` . s.P. CENSUS TRACT <br /> r <br /> Phone <br /> Add <br /> Qwnnr; h--.iron �.r�t`t:�trL.�C.i=. .-.. <br /> Address /,,7 f,, f 7 <br /> �gnrrgrtRrs hlGrnc. - <br /> yy € <br /> Installarian wilt snrvp: 'Z'esid rncn#.l7 pontmone Hlauso Commerc7oi•1—IT.ral lea Court P <br /> M wtH17 4rhaT <br /> f4um'aur <f Iwing wnirs, Numhcr of lmdroorns Cnrlpnge Gr ndor Lot Size <br /> 'NOW Suppty P>;,rbik S+rsttt*n erid TrC'M-C Privpi4�' <br /> Choraocr of sail ran duprh of 3 foot, Sand F, SIP U Cl ayX pesnt F-. m <br /> Sandy loam F may IQPM i] <br /> Hardoor I—, dtdaoo f-- cinr1'1�aW1:01 tf yes,"Yfao <br /> jP20t pddti. :hd`xi- ;i3r of €pt, lmtml>,an of system in ralahon it]wells,buildings, efC. mraih bo phi#Led 8H reverie <br /> NEW WSTAILLrlTIONL (Mo septtc rank I,seepago pit pprmMed if publlr=sewer is avnilabdp wilhyn 200 SprP,} <br /> PACS:A(°C 74AT�W NT ! 1 SsPTIC TANK[ ? 5ivi .. Liquid Depth <br /> C.apociry Type Malcrial. Na. CAmpartmenfs <br /> Dlsrani= !o <br /> nr ar�%t; Weill PrG¢.Line <br /> LEACHI415 LINE r j -Na- ah Lines Lenglh cf eadf IM6 Taral Length 4 <br /> D' 6ax Typq Fllaer hhateriol - aeprh Firer Marourit �1 <br /> Olsia.nx eu noprmsr. Welt F*Undarian _. irroperty Line ...... -... <br /> S"cEPA,SE PiT Japih ipiamtrer Nuemha^ - Raei FIISad Yee '] No <br /> WaPar Tobe DeptFe -..... _. .Retk - <br /> Dislance ro rwaresr: '.Ya"I - _ _foundation Prop, Lina <br /> AEPAIR,IADRiT1ONlfk*ev Sanila%Vl Permit' Data I <br /> 5elihc Tn7,k(Specify 2egarve me 1s', __ <br /> 01 6ssI f;eld :Saacid Reeuir '11.101 <br /> J,praw axi�vng and requ4ed addition co roverse sid!a) <br /> o hereby Cariify nkee t hOra prepared this applleaHdn and Ihao th■ work will bo dAne iA aeeord,enee vrllh Son loogwla <br /> tavntX Ordinances. 310re iavrs, and ftOles sand ReguialEunll of the Son lnpqufn LOCO] iiea16.nil"cl-Yarm*awrtar of ILcolt- <br /> sed agonis sdgnalare corgi flee the follow64m4; <br /> f <br /> "I certify Ilial in ilia PeffsAeanre Of Thio vrertr es wirleh t)rlo petm.l is issued,1 oiwll nv1 arnploy armyprrxOn in iv¢l1 mamraar <br /> ealatlen�awrl of Ca HII-Co sia", <br /> r owner <br /> os ep Esscoane sUt,1 ret tp'Jif4rltmAA�� <br /> V ciher".heir,0`1rn 6 <br /> ECR ofFARTMIEW 1056 ONLY <br /> A'F*UCrk71 7N ACCEP7E?k g { QAYE Z ' <br /> 3UlLMNG PERMIT GS,iUED DATE <br /> ArOUITIONA•L CAMMENTS <br /> rind In-s GrrCl�Bn y + - _ rJFN <br /> SA'p,' JOAC,11IN LOCAL rEALrH 015TRIC'r <br /> F.4. 9 1-69 k" 5rA <br /> -)12120 11 <br /> .................. ..........__...... ........... <br />