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<br />1 rlICATION FOR SANIT tT ION/ PER. I
<br />(Complete in D.;; •..
<br />lh.t Permit Elpirias 1 Y. .• Date Issued Oa Its 14,1
<br />
<br />A.rr • rnl.,- .. hn•ek. • - , - 1, - I ...-T ..oh Dis•., . ... • •-,,,,,,,,,, —t.., , .,..nri h•r0., cie4tCrlagi ,J.
<br />ih t Brrlir 51"'" '1 "' ''' - . ' " . , niiittlIg t I '1 i
<br />..1 08 ADDPICS 'I' f ' it - tr -,-.1., . a 't-. A..) T-71 r f
<br />0.1nP, % N1,nr. IP )14 Pt 6.- r t )vkP ':-. ..L12, - .-}? :2/ 7./.77
<br />Address . 0,- i t- .7q /4)._ < Al, . , r i: y_ 5/- , ,--;
<br />, / Conlrecinr s rinmn 0 ti:. )tec: l'---- :::,,I.;. ,li . r , .•,nn
<br />1na s;on will se ," P„ : - „ • , . t.,, ; !rise 0 Cor--.u...r ,. xtr•oilor, cou , I-Aotn•
<br />e
<br />0 Qti+eir n
<br />eatiene — Pe re. - ',27-tr4T6'e— Numb,, c.; Ev.,„ .,.. „ „.,• h._ 7 : bedrooms . Nu•nber ; f ;•••••,. . Lot si:e
<br />Water Supply: rublir ..••••• • ' •• - • .I,, •Ivstrs•-, [)Priv W ate-14 l'••• •• •.-; ater Tnble crei..) (1:51'1 iC
<br />Character of soil to a depth a t 1 ferl• ;-• i ( j G•n.rel 0 Sandy Ln.•-• ; .3 Clay Loam 0 r: ?Iv [L] ^,dr,)•-•,X. Hardpan 0"*"...!.........,
<br />it!
<br />
<br />- •-• • • ••.! t Distance from i 1,0 cn
<br />
<br />. .grIl
<br />Size..7.3.. y . ,Y'7t) 'Liquid depth 4- /
<br />
<br />.. Is...m.
<br />Capacity...70.0..f.47 /
<br />I A / ,....--., ,...s," ce 1 Di•Strince frnni IC;17.6(11;On i V ., D(stance to ne.erest lot Ire
<br />/.,i, 0 Length of earh I ••••• g7 .0 ...' .1 . Width of t,..ac h .4.! ...... i
<br />'' •1 /CP tr-f Derth of filter rv•N'.".11 /.49 1..' . Tot& length 11-0 '
<br />I Linini) materia15., , rf‘ . irr.: Die net ir. --.- 3
<br />
<br />rm ei .7, F3", •on ..— .. .....1.14.enchlo nearest li;c line,
<br />Depth .6"" .S
<br />- 7 '-'1-•'•II / it, ' .Dklen fr • I •-i 1' /0 1 '
<br />
<br />••••••••••,, ',II Distance from fr-J-cfs`'nn . Lining metor(al
<br />
<br />0 5.:r. . 1, ••••••...• Depth., . . Liqu;r1 Capocit) .... ........ gels.
<br />
<br />rr;vy: 71 ,0.i• ••• .. • ' • I.e.:. ..., 1 DiOence from nearest building
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<br />0 nisi,i,.....,, g , . „.,.„.g ,.. g 1:„,
<br />Renvodelino andor • nr 5.,
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<br />-,-•••r.,.....,-.1„ t.-- 707'1- .4 ' • g :0 .4 .g.
<br />I hereby certiry taro I i,....., v...., up,q fitii application and het the %good! wilt 66 d6116 ti leCe ,deri t.311 Sin miquin County
<br />ordinance State laws(70 Irs *1.4; inailletines of the San Joaquin Local Health'•District. : ,kt ; ., .; , , I
<br />(Signed) . • -"i" ' - - cj-PV L 1 1f 1--/ ' ' • g, .i, 4_ 1 t:,.
<br />i'....1.;::.,. . ,..... ,l'...1 1 ;I:ii
<br />7:•';' •'+' '', ;''''i, ''')wiir 1"
<br />4.
<br />tractor)
<br />he ed.on 'feria* 'side
<br />FOR DEPARTMENT USE 0
<br />Previous Application MAr!•: " ..•• , •• •'• I No 0 New Ci-•-•.‘ruction: Yessgt No LI !!4 /1 ,A/A- l'es .k.:3 N° 0 '%\
<br />TYPE OF INSTALLATION r.tin SPECIrICATIONS: ,
<br />(No septic tank or cntsen.-I enrrnittncl if puhlint sewer is available witisin 200 feet.) i )
<br />Sect Tani::
<br />Disposal Fic'd:
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<br />Se page Is,'. I' "•/' ' " '-'
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<br />Cesspool: D.,,,,,,. ;.r••••
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<br />(Plot plan. showing sire of lot, locatir‘n of system in relation'to wells buildings. etc.
<br />CI 9
<br />APPLICATION AC( Frlit) '1 I
<br />REVIEWED BY
<br />BUILDING PERMIT ISSUM
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