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��� N ���� � <br /> APPLICATION FOR SANITATION PERMIT u .__-.. <br /> in Duplicate) Date issuedApplication is <br /> 'hereby made to the San Joaquin Local Huo|f6 District for u permit to construct and install the work herein dosc66m6. <br /> This application 'is made in compliance with County Ordinance No. 549, - ----- <br /> JOB ADDRESS- ' \ ) - ' <br /> Installation will serve: Residence Z Apartment House F-1 Commercial 0 Trailer Court <br /> Number of living ' <br /> Vm+o, Suppl^y: public system R Community system F1 Privuto [] Depth to Water Table +t <br /> Character mfsoil toadepth of 3 feet: Sand ] Gravel 171 Sandy Loam El � Loam 0 <br /> Clay <br /> E] Adobe[] Hardpan El <br /> � <br /> Previous Application Made: Ya, F-l No F-1 New Construction: &a E]. No 0 <br /> ., <br /> .� <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> __T�_eC4W6_P --------- <br /> unda <br /> ^ - - - -�u' - ^ '5or^^ Tank: o,,tonca from nearest ~=''''°0-'Distance from <br /> No' ofcompartments---�2-----size-���)f��'��---'�quid depth ' 4----'C <br /> a <br /> p*cify <br /> , | | <br /> ' � �� <br /> ation ;L <br /> --Distance to nearest <br /> u/opo�/ nem` "'^'""^~ from nea - 'ell-�� f each U' �� �x <br /> o+ ' p - � ?Wof ' �~'° --_--_�- <br /> �- <br /> -'.' <br /> . <br /> Tvpo c� �|+er m�+e�uL�� � � � filter mof - �moNumboro+ »» <br /> A � � f6 ' <br /> Distance from foundation Distance to nearest lot line ^ V <br /> Seepage Pit: D|�o to nearest wellv ---_ <br /> Cesspool: D;stance from nearest well-----------------Distance from foundation--------------------Lining mafe <br /> � -- - - - Distance fnzm no�not °�U ''-_�--..u/mnno, ��"` """=^. ".....�._-__.-_____ <br /> . p�vy: n�m --''--'''-'-'' <br /> �' ' <br /> . -^ <br /> ------------------------------------------------------ - <br /> Di�aoce +o "ean,� lot |in;'_-'�'_-.-'''------_---__--____ <br /> ------- <br /> Remodeling and/or repairing (6ew;,l6o):--- -_.10'Jw --��N ' � ^. ~ _---- <br /> _________________ <br /> ___ __ --'- -'------------'— `------------'' ______ <br /> __.--''-_'''----____ '-_-_____.___-_-_'- <br /> __-'__- ' '_'____--___'---__.____ ---------------- <br /> ----------------------------------------------------------- -'---'---'--___----_._--._--___._-___.--_-_-..___---'---'-_'--- <br /> �-� <br /> -J that the work will be done in accordance with San Joaquin �^� <br /> ^ <br /> ~ <br /> I rt <br /> Y-90 ify that I have prepared this aF <br /> l Health District. <br /> � �rummo ~^~ ' ~ <br /> � <br /> ' __�_ ____-_._----'_- und/m� C*n�actod <br /> � (ygnod)~»��''-����--wv�+��----'----'-''' <br /> '___.-----'''''--''\/"e)--'--�''''''--''''----''----'- <br /> mY ------------------------------------ --''--______-_____'' <br /> (P|m+ plan, showing size of lot, location of system in relation to wells, ��|6�gs. etc., can be on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> -_-�----_' D \\� `� *~ *'~�w'' ��'� <br /> --------------- <br /> APPLICATION <br /> ---- <br /> / PPL|CAT|ON ACCEPTED BY --'' ---- ,--'--- <br /> DATE--'-. _------ <br /> REV|EVED 8Y.�''--'�--'''----- <br /> ---------- <br /> BUILDING PERMIT ISSUED'--'�'''--'''--�_-'-�--'''_-''''�'''--__-''-- ___�__.____�-''-'}''-'--- <br /> - <br /> A�ura�onsan6/n, rocnmmondaoon,:---.----------.-�--__-_ -- _____________________._______.__ <br /> � ___�______�______.____.___ <br /> -'-_''---''- ' -- _ ' � -'__.'-��- <br /> '�'-' ' � � ''� ' --''- '''' - ''-� ' _' ' '''' -� '--���-''�-- <br /> -' � _' � _ -'--' <br /> '_'�- <br /> - <br /> ----� '---� '-''_-'''--''��'_-'-''� -_�''--��''''' -' '---'------'-'-_--'''-�'-- <br /> '- '-_-_''''--''-'�''-'-''''''-''-'------_' --- -_ _--._.-__---.--__----._-_-._. <br /> �af -�- - ------------------ <br /> FINAL <br /> --' <br /> RN�L INSPECTION BY:-- - .-----------. <br /> ' SAN JQ�QU|N LOCAL HEALTH DISTRICT <br /> /sn South ^=°�«u" Street 300 West ¢"k e=m /nx Sycamore Street 8/4 North "C" Street <br /> y/v"k+"". o"|�v�ia Lodi, California Manteca, California Tracy, California <br /> --~~`� ss-9-2w o'5/ o=/=a vv-2/00 � <br />