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<br /> AOR GFACE USE. AppUCATf4N POR. SANITATION PERMIT Spere,113/4
<br /> Gore Issued
<br /> _... ..... Shia Prrtmif Expires Y Year tram Dsi,e hwed t
<br /> Application h hawby made to lore San Joaquin tocol Health 04111d for o ammo, to construct an
<br /> OMlnancNo,
<br /> d :nsidrl the Work haneln
<br /> described.Thr'applkanen Is made
<br /> In cwmpliame W. C ty e Na�,jS44 and#411414 Rutas and Repv
<br /> e
<br /> JOB ADDRESSII r'1SLJS TRACT -•••
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<br /> owner's Nome �y rp 'Jd K/ "� �' •`CIhR ,{
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<br /> Address �• "
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<br /> Cgrirattu
<br /> Inataltohan WWI serve, Residanco Q�+nant Rau Cmrime'cid ortelter Covet 0
<br /> Motel�Oliver,..."...,..,. "..."..:.".....,...,._
<br /> ." Let See.» ......... I
<br /> Number of living units:.--.. Nssebm of badraatu •;...Gartiage Cinder
<br /> Wator Supply: Public Sysran and mora ._ .,./., _................................Mrab Q
<br /> Chaararr of soli fe a dePsh of D fear: MM 13"Sile� _CIaY CJ Peat�{ Sandy Laam❑ Cloy ('a
<br /> Hardpan a Adobe Q Fill McIwial.._... .If Yat.. 28D�m.... `7
<br /> r tPlor pion• showing size of Lou, lamof lwn 11ruir m rn elation to W`11 .bulkonge, etc musr be Piored mr raven4 149.1VIEW IKSTM4ATION; iNa w',/esoptio lank as � poga pH psmiH4d'IFwww w is owilabie Within (4414 r
<br /> PACKAGE TREATMENT [7 SEPTIC TANK IN Slu. ..r .•.ET ' .. _.." Gqutd Depth _IV., y
<br /> Capodty..,.gam•rsCtY `Ma.. MalaAal Vs"shr�.,. Nc, Cempo"u,"
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<br /> D7stantl to nwresh W411 ....... .Faundohan r J,G... :..prop.Ikte»,.�k....,..._._ ;.
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<br /> LEACxING LINE (y1 Na of tines .Ff ....._. . Length of each IiM. P ..... Total tenth ....a'�..$.......-- ..
<br /> D Bar _.."...... "Floor Material ...... .—Depth Aller Maeelal 4:f..��............'..- r�
<br /> Distance to rrearaM Well ...._,5,5........ Foundation _ Lf y Property ..—
<br /> SEEPAGE PI».. L 1. Oiomafar . ...--._, Mandber ..,, Rock Fidel Yea Q Na ,..
<br /> Depth ...
<br /> Water Table Depth Reek Sme...__...,...... . ..."...
<br /> diaronce to naaresh.Will .................._.._..'....,,....,.ievMarlwt "....... Peep. lana_... ».
<br /> RE NVADOMON Vans,Sanitation perrnif i............ goes..--------.-
<br /> Septic Tusk ISPecil'y R441aiem061e1 ..........,,-...................»....._......................_._.............,. --..-......_.,.........,,.....,.—_.__
<br /> r Disposal Reid MPIC4EY RegWersrentsl .._...
<br /> 1 harebY perNh that I hew prepared rhls a.»_.... ........
<br /> ..... ... .. "....._...
<br /> aping nd required oddrdallon revom ade7
<br /> r ppRYOHon amt Not 1k4 work wiR be Jana in anee 4 unrh San Jcaauin
<br /> Gunk Ordinonae', Sfate'Lawt, and Ralas and 144olatlons air the San}aa4uin Local Heald, DitMof�Nemo owner er Brea.
<br /> sed ngt.d'nawro Naifles the f0ilaWln9:
<br /> ^1 sonify thar In rho Polls...of the work for whitk'hia permit is{awed,I shall ml employ any parson In such manner
<br /> 1 as 44 bawme svb7e4t ro Wark re's Ceatpanaalien Rewe OE Callfttmio." .
<br /> a ; Ownal ..
<br /> Sigrwd
<br /> " . role
<br /> III What Went owrtarl Y
<br /> y FOR OP
<br /> T Lin Y
<br /> 4. F •--_.«.�.- - DATE > 1.: 7
<br /> APPLICATION ACCEPTED BY. ..... -1.�{s .-.....,.•" „"••• DAYx _•
<br /> BWLDAG PERMIT ISWED »-.
<br /> ADOrTA)MAL COMMENTS ......» .... •- ,-._....___......_
<br /> ..._.. __ , ....".....`._.,, Y..r_._._..�..... --- .1—..........
<br /> ..__.... ... ... . .'.. ........_.... ..`i'. .......;...�
<br /> ' flegl InepeeHen laY:� ._ ............»........ ...
<br /> SAM JQAWIN LOCAL HEALTH OISTISCF yl�p
<br /> 71723H
<br /> roe
<br /> IYM1
<br /> we
<br /> ow 11/10/2011
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