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APPLICATION FOR SANITATION PERMIT �n � <br /> . <br /> (Complete in Duplicate) c/ <br /> Application is hereby made to the San <br /> ' ~ <br /> This application is made in compliance with County Ordinan No. 549 <br /> --------------------------------------------------------------------------------------------------------- <br /> � <br /> Installation will serve: Residence Apartment House F Commercial [] Trailer Court F] k4 | F] Other <br /> Number of living units: �� Number of6� � <br /> Number Et Lot � » '� �[ <br /> Water Supply: Public system L]—Pr`,,`ai`t. <br /> A of 3 feet: Sand <br /> � Character of soil to a p � ^l Gravel ET Sa <br /> _/ Loam El ..., Loam C] `^"y El Adobe/HardpanLJ ' <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank n, cesspool permitted if public sewer is availAle within <br /> » � <br /> .� -,/_- ~~..`~ .... nearest w"" ,qb- um,onc from 'foundation <br /> Privy: Distance from nearest <br /> . well_----._-_.-----__.._-._-~.~...`~ from ""a.v~/ <br /> uu/mmg <br /> '—''-�-'' <br /> --'-�--Distoncoto nearest lot line - I- <br /> t <br /> Seepage <br /> ^tSoopage Pit: Distance to ne8relst woU_�--_'_.Disfanuo from foundation--------------------D ancetonearest |ino----------------- <br /> El Number of pits--- ------------Lining material_ --1-'Size' Diameter------------------------Depth-----_______ <br /> .DisFiv|6: <br /> Ois+unoa from nearest woU_--!10 ------Distance from foundation--- 0�--------Distance to nearest lot hnv- «-/ <br /> Type of Depth of filter maferial___JZ__#._,------- <br /> Remodeling and/or repairing (describe):--------------- 7� <br />! ------- <br /> ---------------------------------------- - - <br /> -~!| ^ <br /> --�---' ----'_--�---.- <br /> -''-~''�—�--'4'--��---'-----^~-''--'-'-r'----.--�----*-8---p- <br /> ----=---_t-�—_-�'�'_---� <br /> ----------- <br /> --------------- -'-----_----- __-____._-_____..__-__ <br /> --_--_----__--- <br /> - <br /> --__ <br /> ordinances a ws. A rules and' regulations of�the-.San,Joaquin Lqtcal Health District. <br /> (Plot plans, showing size of I�t, locafion of system in trelafion to wells, buildings, etc., must 6e filed with this application). <br /> ---'-''___.'''-'�-'-,''---''-___---FOR DEPARTMENT USE ONLY <br /> '—__''-'_-� '' Joaquin­�'=- �° - - <br /> APPLICATION ACCEPTED BY------------ - � �'' ' D�| <br /> -------- <br /> REVIEWED BY------------ w � — /T -''- <br /> ' <br /> � <br /> K <br /> '. <br /> ______.____-�____.. ___'_ __.___---_____.. -DU|UJ|NG PERMIT |S6UB}--------------------------------------------------------------- ------------------------------------- DATE <br /> -----------------------AHera�nnoan6/or mecnmmen6af�ns,------.---�---- <br /> .___.------_-'-_--.----_-^-------�__------�----'-�----.-------'_-_---.---_-----------_--- <br /> '—_-_-_------.__--_--._-�_._--._-_----_�-_--.__-.-_-__----__-----�_-_-_-_ -_ <br /> '-�'_-''_--''---_-''_-'-_-�'-_-.''�__.''-'- -'''''---�_.--.___-_--__.--._---_-__--_-_-- <br /> '_-'_--_.- 'pERM|T No-a-�---7-.. ISSUED----- ) - ------------ <br /> 4/r <br /> .�--~ ' .----- '- <br /> Date <br /> SAN JOAQ0N LOCAL HEALTH DISTRICT <br /> | <br /> 130 South American Street <br /> Stockton, California�--�-�wvan ��/an <br />