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"ll <br /> 1 APPLICATION FOR WELL/PUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> - ENVIRONMENTAL HEALTH ONISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)488-3420 <br /> I IfUIFU[FVUUAALF PERS Fl__M U FROM OAT ltUFU <br /> 1 M;wNPM[b TRintRl f <br /> A-LI TMN,,N,,N RY RAAOE TO T"t RAH"AIR"COE TOO A WrNA tO CONRnIDCT"ROM OMfALL TRI[NMRN OftCrE TROT Arrk1 ATMN IR YAOr RI c MrAA W1111 RAN <br /> JOAOIRIheOVxTr DEY oO w T"a.mAPr[N 0.1111.7 AND n6 RTAMARne DF RM IOAMON COIR,r t,­CN,"Tx ,.RR'RRRrANMAL InAt TII IIPIR4eH. <br /> .ran AI]MI[Alnn Arxr 4 h 1 f f a R d, e— L I n d e n 1—m Rr Y,A <br /> I nw[TRHALN Ra mus Dev. & Sales/Andrea Se ham„ 15444 S. Mitchell Rd. Manteca .,9G9-i923 <br /> k epNrn:era I n c llin Co. Ellc. ARR..R 3 25 Pel ndale MDDtet 290813nNRIr. 545-1185 <br /> RIIR eoFrtruCTTM ADOrVn IIeR nTM-�-_.____ <br /> rnepr4puY C]rawrmt I�wTURCERAFNrwnt Q YOY,ewNDwRn. I3e.wR <br /> !i ttQLL—Aiu ❑vretL Rvl,rw rfoAm Q nveacoNNFre IRRAw E3 YAROR rRfucFlnxwnf. <br /> I ❑R»d H.r. Of...`tl SET <br /> RYR pF nrLen (r PIC'— _^- rept wATRR Lnm. R <br /> ❑ON Af.RTONCF YKIt ❑AROnry 'a WF t R ❑ RpR ROR RI R <br /> N.q bRnrl:le.MHo A per San JOa uin Co. S ecs/instructions <br /> 111 upm RE aC."FTR nR sl to <br /> � <br /> [yyl lxblRRTwat t❑Cf4N nCRDY pA.M WFfL t11CAVAlgx dA.MG[lxdleian CAlexO f, <br /> 1 13 Inl![InCATIVAT[ tyy r,1RRAwt 1At'yA TvrSMCAIIrMne[nR+A; aIA.M Wilt CA[RRt <br /> Q I1fIKA-RR[RfleftAL 1l-. m"N pF Ofn-an RftcNleATbN A <br /> j ❑ReROAtxTm". ❑OTx[R e1p1RF REAL MRATLED nr ePMrt MCWe xAYt r <br /> QYOHlterer«R amrn nAl RarRmn.Qv,. ON. c011eFOfEN -Ater OMLrR,[J r� ❑w <br /> f AMRER'DI�TN toot"C .'."".TOYE rwT A <br /> I +Rvroem CpxftTlDDnpNA'An111M ATIrbR:Yw muEv An mrAm AUOrn eARTt annR <br /> I x[TRv CFTRNr 141Af I IfAVE nVrA1Ep TNI AIr11CARM11 NIR txAt rxc went wnA a DRH[Rf ACCOROANeR MRTI/RAN EOAtMN tOTIRnr nOIIRNAtIC1v.RTAIE tA.'Axp MUr ANtl <br /> RftlIRATRIMI M tlm RAN ApA0111N toUrtr,Ifpyf 9 R tlR tRCtxRD AIRJN'd IIRNATOOR em.w,nN TDLLOYYYM:h CRRTFY 1NAT M N FINDIV.mr M nm xMIRt rlyt"NcN <br /> lou ERe <br /> Tf <br /> nNtnIRNFD.IPM1t 1gFFTERtlY 14wvM MlICr IO r[eRRMMv{DIIRENIATgN IArYR aR eAIidVR4'COIttTA{ftl1lY fRmrq pR lVO{ONRMCTpq EMNATVIE CDRRRI nl[rpueWllq; •r cem1A'TNAF M nn xlMRryAM:!OF TIRE KOIM RRR vweCll RfRR RERVNF n n.yEp,r nlAty ngLar RFRRv1n RIA,rECi TD N'ORRMAR'R epuRRNNnpx uwR M <br /> CART A.'FM AIRIIeAM NTmT CAIF.IE RIDLRIR Ilf AbvARCf RDR AIS 11[MAR RIIEEr`lYl T rlMl EMlIM.CeYnIrE DIIAMIRM A/LDYln1 ATVA r1hVN+Fn. <br /> 4`r{cam_, Apr. 5, 1999 ' (L <br /> I� M T KAN M.1.h wNN MM � '-'.••_` U <br /> I[ 1.NAMt!M ITRFfR pR mADI NEAI(At RD CR iOV11pIRq 111!HOYFRTv. 1.LOCAEIpN M NRtwAOF y1NpRAt W"T.OR IMhoefR <br /> 1.OWL"O<lIR mDRtRITy.OMIq eIANIrd%WN AND xMRN DIRECTION, tRrANIRON O<lpl/IE"N" <br /> 1081b1ElORAI WR1rYR, <br /> t.dFRMEMIRb alrtWtl YM IOCAT1pN tlt Alt FRIRTPI9 ANO FIIpROIle R,LOCATrON Oi wrtlR WrBARKERMDTII rAneRVn r�1Y h. I y <br /> EnNRCTVRI,VKLVDIIq CDVQEO AIEIIR RpeR1 AR/`ATTDI.DT'[WAW,ARm WAIkR. E/K"OPEInYOR ADA NR"O tNOMffY• V V <br /> ..1 <br /> = yy r <br /> LR < <br /> v 4 <br /> RPR 5 1999 <br /> rusaxnic.ii`T,y <br /> �' �- C: fl'VI NM.-lii..NEA'JH�Rf-"S•. <br /> } - - enARTunrr wt aRtr _ - ' •.. �.�- ��� - <br /> Ip <br /> f,v -.,3 f�R �I�l r4S fSLgE.r <br /> AccetmTrne tlxtr; AMr - EAet � �T�,Re CA{rti p,-719_ <br /> K eeo[R 1F4IMO AMOVRII AN.Rt T[e prNER/NA[RI IY eRH ADYnrn REOV[RT Nrwuel tNOICI ....LL <br /> -77y l5 /S 3 <br /> Pub NARph SON-Enrhn.f73(j107) <br /> N <br /> COPIf <br /> r� <br /> r: <br /> I <br />