Laserfiche WebLink
" <br /> FOR OFFICE USE:' <br /> --------------------------------------------- <br /> Application is her`66y made to the San Joaquin Local Health Dist rict for a permit to construct and install the work herein described. <br /> This application is inade in compliance with County Ordinance No. 549. <br /> -__--_-.__j^-.V_--____'_.___-'--..__-_-'-'_'___-----.----_._---._______-_---. ' <br /> Contractor's N <br /> �m�.-- <br />' <br /> Installation will serve: Residence ApartmentHouoo [] Cnmmono|u/ [] Trailer Court [] Motel 0 Other [] . <br /> Number of living units: .'/-.'Num6or of bednoomv:5-' Number of 6uH`o .��-' Lot size ........................ / <br /> Water ~~rrx Public" sy"'=" [3 <br /> Character of soil to a depth of 3 fe6t: Sand 0 Gravel E] Sandy Loam E] Clay Loam 0 Clay [] Adobe E] Hard )an F] <br /> Previous Application Made: (If yes,date...\--------- ----) No E] New Construction: Yes E] No [] FHA/VA: Yes 14o <br /> L <br /> TYPE OF INSTALLATION AND SP ECIFIC \ i <br /> (No septic tank or cesspool p�rmitfed if public sewer is available within 200 <br /> Septic Tank: D - -` zn -' u+ar. - <br /> No. nfcumuxrtnent�'.',� � � � � .............................. <br /> ^ .' -' ^'-' capacity. | <br /> ^ <br /> Disposal <br /> --- " <br /> Field: Distance from noo,00 wmLA0--------Distance <br /> --. istmncw from foum6ufon _-Uistun*m to nearest lot ||~^/ ~^ - ' <br /> [] <br /> Number' of |�o�---~� g+ of ���- ' .. ` »- <br /> Type of filter mute6u| ` <br /> El i <br /> Cesspool: Distance from nearest well-----------------Diita;�'66 <br /> ~ LJ Size: Diameter..... --------------------------------Depth----------\--------------------------�_kLiquid Capacity-------------------------|-'gu|o. M ' <br /> Privy: anceneares <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and iules and re tions of the San Joaquin Local Health District. <br /> / � <br /> -.__�---__-_-_-__--_-';mm�.-----.-��; =.-� ____.��--�-.� <br /> V� ��^ �� � ��� � t� � �� � � m� � � �� � �� side).' > ' <br /> � '-'�--'~- '��- <br /> /fiOR DEPARTMENT USE ONLY <br /> -----------------------------------------------------------------------------------------------------'' ----------------------------------------------.'--'----------------------------------------------------------- <br /> '---'-'-''-''—'----'---''-'''---''--'/---'--' <br /> ` <br /> FINAL INSPECTION By:__ <br />'-----' ��' ---------------- <br /> --- SAN oOAQmm`c0CAc'HE»vL/n-Dn*|mnC /--------'-------'-----�- -� <br /> Z. <br /> .30�St.ckw o0ww°*Oak s�w� 1u*sv�m"=x��, ov*W=t*mo�°� ` <br /> an Street <br /> Lodi,California Manteca,CaliforniaCalifornia ` <br /> so " ncv/suD B-59 2M 5-62 ATLAS - ^~^`' <br />