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° . <br /> p��mp�f �APPLICATION FOR SANITATION PERMIT ��� . <br /> f1t,Z, <br /> No � <br /> � -'--'_--- <br /> D. <br /> Duplicate) Date Issued <br /> | ` <br /> �� � �� Joaquin Local Health District for a permit to const�ucf and install the work hn rein described. <br /> 's applicatiori is made in compliance with County Orp-1wo-ce N 0 <br /> r0CATION____,j <br /> JOB ADDRESS s _e I - ?,T:/- <br /> 7 R<Apar�menf House Commercial [] Trailer Court Ej Motel L] 'Other F <br /> Installation will serve- Resid ce <br /> Water Supply. Public sysiern E] Community system Private d Depth to Water Table�* ft. <br /> Character of soil to a depth of 3 fe6f: Sand vel <br /> ^ _- . _- ' .~ ' ^~ A._'- �� _--_ F] <br /> Previous Application Made: Yes [� NO-ET" New Construction: Yes [l No_ . Yes [� No ��-----' / <br /> � . <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: ' <br /> (No septic tank or'cesspool per' |He6 if public sewer is available within200fe ) <br /> _0-----Distance to nearest lot line----I�C:!77 <br /> al Distance-from nearest <br /> Oini aterial- <br /> Seepa if: DistanEel 'to reare';f well __0- ------ Distancefi6�� foundation------e"o' _��Distan'ce to nea7e';f'lot line------- ---- <br /> ^ommzelmg ono/ur'.opo,nng (clo`cn�e)---------- --------------------------------------------------------------- ------------------------------------------------------------------------------- <br /> 0 1 <br /> ---__--__-__''�_'''--_-'--___---�'''__---_.'--'''---'----'-----�'_�-'-'__-_'--'--'-'''_-'-'— °�� <br /> � ^ <br /> -----------------------------------------------------------------------------------------------------_'__-___.._-_-.__--__._..-__---_-_----._'-- <br /> ____________ , ' , . <br /> I hereby certif�,fhat I h'a�e' prepared this application and that the work will-be done in accordance with San Joaquin,County <br /> ordinances, e laws, and rules andlre <br /> #aftons f San Joaquih Local Health District. <br /> ik, _jl_ - _'.. ---------------- ------ -------- - ----------------[T.t--- or Contractor) <br /> ` <br /> is r �uiic�ing7c_., <br /> (Plot plan, showing size' of lotijbcation of system in r6lafio o#wells, 6ul li s +c., can be placed on reveise side). <br /> . .IX7 '.R_ - I P"ter-anq <br /> ,On "crAmmEm/ USE' ONLY <br /> � <br /> APPLICATIONACCEPTED -Y ` <br /> REVIEWED BY <br /> 9� <br /> Alterations <br /> .. r+« <br /> FINAL |NSPB�T��N 8Y��-��~��y a--_ <br /> - ~ Do� `- <br /> ' SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> mu sv"m American Street svuvv�tOak Street /nc Sycamore Street ow North ^o^ Street <br /> Stockton, California Ld(. California - Manteca, California Tra"v, California <br /> ss-9-2m x°.is°* 1,57 ppcO. <br />