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ONSITE AS71
<br /> WATER TREATMENT SYSTEM PERMIT
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<br /> RSAN=JOAQUINCOUNTYENVIRONMENTALHEALTIY, TMEN7+ k. �+�"`�'�� !p 304'E WEBER AYE 3�O FL STOCK QSIUE (2119)468J420 ,
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<br /> # -"NON-REFUNDABLE PERMIT.;,�;i*°' .'. GALL''(209)953-7697 FOR IN aSPECTIONS• '�>� "•.EXPIRES I.YEAR FROMfD TEISSUED
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<br /> 1 _rL10ENSE .'Cl C-42 .13C736- OTHER r _{..c-a• aA? NUMRElt = ':EXPIRATION DATE
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<br /> r WATERTABLE DEPTH .'y - ..A:w ri.fl CFAGRAPHICwLINFORMATION 4 COordkne[es JLrY 1 ,,,.PERCTEST.,p �. :! y'�ti� BUILDING PERM IT#fit e:j:a •-`-LANDUSE]APPLICATION#U 5•'DC,'•�� /\f
<br /> -TTYPE OP WORK ❑'-` NEW INSTALLATION 74F �' IS❑ REPAIRIADO[7ION "'+1'�is° � A✓- Q'a`ENGINEEA DESIGNED IAL'CERNATIVE ,c
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<br /> ,x INSTALLATION WILL SERVE t I- RESIDENCE,114"- y ❑ COMMEACIwL w�¢1 ❑'OTHER� i• R �'' �' r
<br /> NUMBER OF LIVING UNI'ES PS UM E
<br /> NROF BEDROOMS fir'-""` "'+ "'9'tT' NUMnEA OF EMPLOYEES:
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<br /> ❑!,PKG TX PLANT! DISTANCE To NEAREST: WELL t P r�i%R ¢FOUNDATION ' �I R ry�^PROPERTY
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<br /> �� e ❑k.LIFT'STATION =51ze TYPEOFPUMP - ,. -❑`.SAND OIL SEPARATOR(ENCIASED SYSTEM} - .
<br /> '1 1❑. LEACH LINES _ ❑.#LEACHING CHAMBERS rtn - r. 41_#_OFLINEs •" ' ` LENGTH OFLD.ES
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<br /> P4'+4, P } k�,n q� DISCANCE TO DEAREST SWELLf_-'rF ft{FOUNDATION „PROPERTY FINE R
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<br /> }DISTANCE 70 NEAREST"Y WELL'r c °� ft�POUNDATION I Rh 1PROPERTYLINE fl
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<br /> DISTANCE7'ONEAREST., WELL - '1".SRPOUNDATION° # $ �ft' PROPERTY LINE R "
<br /> � T' }[HEREBY CERTIFY THAT I HAVE PREPARED THIS AP PLICATION ANR'fHE WORK WILL BE DONEINACCORDANCEWiTH SAN dOAQUIN COUNTY _
<br /> R !!F"° ORDFNANCES ETATE LAWS ANDRULE$AND REGULATIONS OP SAN]OAQUINCOUNTY' �
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<br /> ' '" x" t MINIMUM 24 HOUR AbVP.NCE NOTICE RE(1UlREb FOR INSPECTIONS- PLEASE CALL j( 09)953-769
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<br /> SC -Received Cheek a Ameunf'.- _
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