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' | APPLICATION FOR SANITATION PERMIT Rwmif No. .....C ~',�-�7 <br /> l <br /> (Complete in <br /> Date Issued -�,��l�� <br /> ' <br /> Applica4;on is hereby 6 'theSunoermconstruct <br /> This application d �� withand tall | <br /> ~°" "vDnoun LOCAi <br /> xuu ' <br /> Confr <br /> -------- <br /> Number of living units:, Number of bedrooms N--.-Number of 6u/6, -L' Lot size _.����-��-A~~�' -- -----_ � <br /> ua+er Supply: Pu6|ic^sys.fiem [] -Community system - Private to WaterTuble .V. f+. � <br /> Character of soil to a depth �f3 feet: Sand O Gravel Ej Sandy Loam'Ej Clay Loam E] C|uyE] <br /> - -- �6o6o6-<ardpun O <br /> Previous Application Made: Yes El No Construction: Yr,- <br /> TYPE OF |^m|��uw| ]M ^ ND'SPEC|RCAT.ONS: <br /> /! <br /> (Nn septic tank or cesspool permitted if public�*,°r is- @m within 200 <br /> SePtir,Tank: Disfance from nearest wel)_440......4Distance from foundation-..../ip— ­,ial <br /> No� of compartments <br /> Disp <br /> ~- <br /> Number oi. / - 'Length of kv ......-���� � <br /> .�p�. „ =,, ”" ,�ocn <br /> -Type of filter material----- <br /> Depth of filter rinaferial. <br /> mu�bero+ pits.. .��� --' lining'mma�uL ��o�-�� S�e: Dium� �� ��`--- '�� _ <br /> �,� D�p�6 -'--' - <br /> Cesspool: Distance from nem-esf wei|.................Distance tion <br /> - v -----------Lining ma+o�o|- <br /> -'-----'---S�c: D�me�c-'' --_ Liquid Capacity ''' <br /> --' -'-' -' ep| .- --' g /'' <br /> Privy: Distance from nearest. well ,-'0'----D�+ ncu fn,� n�m�` 6uJJ�q ' <br /> Distance tz nearest lot !ine`°^ ~ ~ ' ' ~ ^ ' - ' —'-� -'--'------ � <br /> , -_-__--.--_-----.__-----_---'--' ---_' -'�-_' ............ <br /> Remodeling <br /> `on6/nr ,� °irinq ��,cbo)�- - ............ ......................................................................... <br /> -'_�_-�''_--_'______ <br /> ------'-'-- -�^ --'------'-- ....-.-----'--------'--'----r^---_---�-----'-.__�___. 'K <br /> --- ....................................................-��--''-'---r-'-'-----------'---------- ,- i� <br /> -----'--.-'__-'L-------�_.-...x. -_�--,__._--_-----_-----�_��--�--�'----'----'--' -- <br /> . work -r" <br /> regul tions of t�heSa n�Joaquin�Lo"cal.�IH <br /> ordinances,j alaws, nd rul d ealth D' recf. <br /> ic <br /> xwill be done in accordance with San Joaquin County <br /> --- <br /> 'Tit- -- �----- --'' ' -'-----� I - '(plot plan, o� °�e ,�e of �t ��w�*n�� o��� � ,�ut�n +n �� �� y�g� ��. can 6mp��Jvn �,� <br /> FOR DEPARTMENT USE ONLY <br /> ov/Lv/n`= rEx,w// ISSUED' <br /> Akw,a�unsand/or ,ecommonJm�ono:-. -_-_-_-.---_---_---' `-`-----'� - <br /> '------''_'___--_-----___ _� .____,'______________ v� �������--' <br /> -__-. --''_--.-'_--`-'-_-' -' -._.'_-_-------'----� ---''_'----.-_- '��.--' <br /> ^ ........ <br /> .............._---.--'...--.'''--.-_---'-------.-_-.. -----_.. --`-',---'--_',-__------.--''--'' <br /> _--_-�_�-_--- _- ' -'---' , -----'_. '---'-. --_----._'-_-__----. --_. <br /> ~~� <br /> �N/\L 1NSPECT(}N -BY - ----'�- ' ' ' ' <br /> -� -__ _.-------. ---'- ---�-'_-' <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> oo o"�h *m"�a" u*°� 300 West Oak s�°� /»x �"°m"� ��° n/^ w*�h "C" Street <br /> Stockton, California Lod;, California Manteca, California Tracy. California <br />