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<br /> �� al► b� Permit No.
<br /> APPLICATION FOR SANITATIOM PERMIT
<br /> ICoatplets in Mfg" `it '•Q' Date
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<br />! Applica+ion is haro'cy me to the San Joaquin Local tlsalth District for a pormit to construct and instal[thewor erein desCribes.dk "
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<br /> This application is made in cornplineca with County Orrlinante No. 549.
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<br /> Owrser's i�arne.: ..f+ ....'...... , ... ?� a�
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<br /> r C.QfItt�Gl,Orf..lama..............:��«�'•••••• :��' i
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<br /> IMlal[tstloa wlil e"O Residence Apartment Nouso ❑ Commorcial Q Trailer Court ❑ Mot�erl�] rOthe�t/, -
<br /> Number`o#Irving unr#s _Number of bedrooms,. ... Number of beth: o ._ Lct sire Y
<br /> Wit'SupplrFtblic:rysierri" ir+munrty 'systemf]` Private'❑' p Wata�'Tribie" ft } � '„ + ,
<br /> 'Depth to
<br /> •fie f-a•k k, i
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<br /> Charac>tir:a�"yodt fa a de�pffi of 3 feet• and[5 Gravel❑ Sandy Loam❑' Clay Loarn❑ Clay❑ l'.'•alv4tfardpan❑ r
<br /> S Apptic Not Made Yes❑ <o ew
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<br /> Construction: `les *T-No13.
<br /> i TYPE OFW 1NSTA��RTtON AND SPECIFICATION4 _ «� ` r 1��
<br /> t INp�Wptie.tt► orboirsspool M iF pubec sewer is available within 200 feat.}'`s r _ ''•� °
<br /> $aptec-Tnnky Distance from nearesffoundation.: .f r.:,i Mate` !`r
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<br /> Lir{u d dy tlr r Capacet�i I
<br /> of compartments ; �II~> I' ..Drslance from dation..., p T�r •,•*-« +fit f s r '
<br /> �°rr•pair ..• 7., t,.. T.4 A..f.T'a'. k 'T I _ ' Y'•
<br /> ' 1 fisld Drsfar"from no
<br /> 21 a Dri us to rte r st tyot'R le yF�
<br /> �,� tan a e
<br /> � Nuint»r of}inas...`tC K ,,t$Langth of early line . y width r6 crotch nt
<br /> y of filter mate1 4R2r±~-Depth of,f;lter—matenel
<br /> trlrstanoe lv neerost`alL:. s fJlstance' fr`�Prtr#bun 8#�Ar+"s G D:sianin'to nearest 11W �.
<br /> 5sepage�Itt .
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<br /> 1 lrlurRDer of Liming rrratenal.�ie �Srze -I ISTBtOr j r�s
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<br />�a CaasspovZ s E;3�DiEtnnce from nrearest weA_:_ .Distance from foundctron.. Lenin matenal..
<br /> D' mater k�'`: Dspth• r Lrqu;d Cnpaccty �r,t ystg l
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<br /> bs 4. # ,,,d ,. D�stanca ffiror. nmarest"liwldurg r >+d ^s
<br /> n +rY ,� C+�stante fromdr�earnst well
<br /> ��❑" �' F;hstanca;o"naerost lot Zine. _ .� :- ;l F,r{�T .� R� � ,a�#
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<br /> repairing a Paw. '• i
<br /> „�„•�WS,�-};sn,•.�? ��r �� Re- � Rl ..:.�*C��
<br /> Remodel and�jor I&Wnbal.x' _ � f r� -
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<br /> ,'4viFi'ti�.: � '�J��",F��"s'!!•�^�}..-inW�q'"�•r��+�` �� ?y`C -sJ f Y .d.-of"'�fT r�-s,F h.�f�'i i_3 :.� .
<br /> "iah:v. d 'apPfiicetion and that tho'yrorb'n,rl he darts let accordance with San`.lodaiu�rs'Ca Z
<br /> i<as<`° tawa „, of ti►e San Jnggauf Lac41 Fjf alttf`D►:trict t kµr F`` v r
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<br /> 1 �Vr l• `' $� Y 1 .,�.a' '� 4 ¢ µ Y1 .». _... -+ ' ~ Irtle!
<br /> } � t pienysixinng si:o`of b#,Nfoeaf syt}eQ1'Jin relat'iott fu wRalls, fauiletings, can bo plaid ars re7rergsa I}'de. e ;. t h �Y}
<br /> Y!p .i •n a • - a 3 r r#` FOR DSPARTMFN f 135EONLY 4.r aka}'�1; r �� +. r
<br /> Y � ..s� 'Y. -:_qs .y x'. �- x ata •a DAT4.—.•� ��t�4,"t• � :�'��'`r-c��'iri� ' ;, „`- 't
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<br /> ..,2.rDATTEr E_._�jEVIEWEA'B„ UE4�l h 4 DA
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<br /> FINhL 1NSP�ECTIOW 61' 47�_ I'J Via, ...... ......._ y
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<br /> SAN JOAQUIhi'`�OCAL iris ALTHjpItTRICT
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<br /> 130 SovfY Amsriaur $1--t300 W" dal Sirsat 132 5ycarnarn Stroh. 814 Mail •G•
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<br /> j Skelfo� Gtilom9a s 4adL camomta me;%.feca,C.atifornla t Gailfomra
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