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<br /> ir•II•IlhOne (?(T`•)) .166 6181
<br /> ►'1 WIT FXPIRES 1 YEAR FROM DATE ISSUED
<br /> lCnillpipte in ?till rah'►
<br /> .•n I„r.d tle.dH•fi•'.tn,t Im a pem,rf In,nnthuct and. ,r md.,lt eh.•wotk herein d••.,rdwl 1M aot'
<br /> 1„_n'•r�r'1
<br /> :.� • t.
<br /> l'nhn.11 n t1t 111'1 hit snWatp•ur No 1444 fur Wrllrra•,d the Rutr%anA R«,rU1.11w N,a of the San `V"
<br /> 204 4.
<br /> Lot Srt« vti► - 1
<br /> 1(0(0%0 /tib C.�?G►-o�GG.+ �4N� c�tv VA -- - `
<br /> ,lob Ad,trrtt ! M• ' ....I�j
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<br /> ✓CT ;. S.auG �`O N
<br /> 13 '47 &r
<br /> COntr' � N ble---- LICenit PLACEM..NT c DESTRUCTION
<br /> ------' WELL RE
<br /> TYPIOTHER
<br /> T+'•tl ATION SYSTEM REPAIR i
<br /> ' DISPOSAL- flD PROP LINE
<br /> D"AANGI To NLAREL-1 '•I l' 'f,1j. SEWER LINES — Fit TSrSUMPS
<br /> cOIJ•-!'t•?ION AGRICULTURE WELL OTHER WELL
<br /> INTcNDED 11SE TY1'° "1 WELL PRIIRtFMAJIFA CONSTRUCTION SPECIFICATIONS of Wee Canny
<br /> Die of Well Ftcavat-on
<br /> Industr alt !+f>K dr a1•N'a
<br /> (p.�••�
<br /> DomrsUcrPrndtP Pock Trdry Type ,t Caa+r,ll .. -
<br /> Tyle OI Grror1
<br /> ,.. DeltaDeptA of Gard Seal
<br /> Pubt.c
<br /> InrTlauon %•t`Inn. Depth I I Eastern Surface Seal Inktallwl by
<br /> N P - .....-.._ State N04 Do"
<br /> Repair Work Done Tvr- c mn ..
<br /> Wen Destruction Wr'�' � "•,. sea'."Maler,e111np'4.1
<br /> nr•pP Fine, Material IBe[ow 50'1
<br /> '• I nTION M'1111'AtN AODI110N ? DE!aNl1CT10N I INO tMO�mNra( ""MO't'f f.o'r• wwr• + al
<br /> TYPE OF SEI'l IC WORK 'a,'- asvaJble•aratwn;QI
<br /> Installation will serve R/.I• I:nmr/rnclal 2 other
<br /> K -,f tw•,roor,t j /
<br /> Nurnher of Lyng unrs s�•,�►lee� � L WSW 141+11
<br /> 11rl,rn �^'
<br /> Cha,act,f of sod to a dip-h ..r - .. ✓ //L�i Calwr,lY « N.
<br /> CorrpM`nw�h
<br /> T •_ C
<br /> SEPTIC TANK a r`,A Mrfhocl t.l 1Mf,r•aal
<br /> PKG. TREATMENT Pt T
<br /> I . L,nr.urvt Wrll/.Z
<br /> Fotarlatw,n Pfcy,rttY lw
<br /> 'r/ „�eh nl I,ne% , Q �. Total latnlfh aW s
<br /> LEACHING tINF //
<br /> n„,uest WeN I j Fautrtrt +,
<br /> FILTER RED •% `/l _ �`
<br /> SEEPAG'. PITS
<br /> t fhfyttMM [•�
<br /> SUMPS t
<br /> �, + • r.,,wnfe\t wx ;--1¢ Fpt`ntlatumn
<br /> DISPO;AI PONOS i �I
<br /> r
<br /> (her••by torUly That I hove I• ,1•I•'•'shun s-I Thal frw:wk w•a 1.0 Jww 4,>t�•;fl',►MMr M.Ih San A•a.1•sV• "• •• •.a•� a
<br /> rates and ,elridahnnt,d Um Ileslth(bWrw 1 h ,r.—.4 w,.a•4�f tvt
<br /> Homn Owner or br«need alp•, n.ertdr,a the luR„antgl 'I,erhtr 11.41..IM pe•h.,rwet r nl ILa w••N Av 4tar. t^s t
<br /> employ any{w,rtnn rn tiuch rn: '.,Iwn nnw whlrw'1 fo uy,w\ItfM,\tumt+ansalww Lin„t CaAl,rr.a lr f•arh`.�«"`11 a•.•.w.a•w+r�
<br /> CNn,hna the(allnwrnp .1 1-_e,t,i, t"..lwflormarw a of IM w.v►hw wn.h Ih^fw"*l n ga••MI 1"'%Jr a•wt '�P«'
<br /> lion laws of Caldorn"I"
<br /> 11 1 •..• .u+1•,•�hun* Cronfawlw.M 4Mr•,11,w,r,n"'�a.la
<br /> The atrphrrant
<br /> Sgp,w,l ML%'r���'""t•✓/� •�G.�� TRIM �� EkMI\
<br /> Von OIPARTMINT U51 J%tv
<br /> Apphcahr
<br /> on Acpptmt by . e'S'
<br /> OaM f a�sl Ify11Fi MMt I,Y ���a rac t.L L'� j•t. EaMa _.te,t•---1_�r/
<br /> Fitt or Gronut InsPrict- t,v a •J
<br /> 1 ,;•'�1+' a 3,•” ► • ._ �.-.....�.. ._
<br /> AAddinnal Comment. ff
<br /> I J Slk Mif{f,Ipt It ( 'Mamsra t{.sl /10a� t•«♦ ttMltflll►
<br /> Applicant ReW,n an rn{ wntal Nrwlth Pr•r•„1 'iaAKM 1811 ( k«a«ahrtn Ave,• P O Mia JIt1Cr. Sob .CA VJW
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<br /> ( r I r I aMflvWt fltMtillD KAON_ MICIMD•� pA71 1 rearm rD
<br /> . to l)N inn ... I T �`•_ .�- - 16. _
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<br /> 20 1
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