Laserfiche WebLink
s <br /> Fi <br /> permit <br /> i _ <br /> F <br /> _.. �I-tf�_I--through A- �ener.�.lInf,� -I=�=sYw'=�t= i1i!2st'i a'�e T�.sting-----_- <br /> `-IE7 R: 'ys=:40N1.aT { !... f:s-T�.L-r•'cY.._...-.---__....------_...._.-.._«...-.._____._,._ <br /> --------- ---------------------------------------------------------------------- <br /> F r r _ - ._. .� <br /> X! t =1nC ita.L <br /> 'A, i. ���=!'s� .�_z #v, r`'.'i':iC: t��l'��i..:i2- =ny�c4.�i �Vl � �;.;�` �_ -�C�uc <br /> 4" e <br /> r 1 R - �'i1C-�!�1�31 3F Fil=ilir'r'.`-fS ..a <br /> .." _ 1a 'ic?Z' =+.r�s=f_:W �i --• <br /> car <br /> En rdc)sul.f an ( TI i. (»iw,n <br /> rt3 _ r <br /> � �-• Rice F'estii ides rfrc'r tiT <br /> � :- -3__ S ':-I��i "_ 2a` a Fe <br /> 1 <br /> t -J i <br /> f .T '.F- YF qty ( :3 ak'._ fnaiC�-i"ii-j;n �-LFr-«-ifi ii vl <br /> !YJ - ,'ie .11y s. L<T-IJi :i.de, ,.. -._ . <br /> T11. _ •1 rt r s I w 14%.�i-e'4 4g i'�=•` ,`!: w,`_i:_ <br /> - .L. <br /> Tar pe 13'1: i <br /> Single trove F*ita <br /> (=!_brad-a T� � �_v��?�1�Jil ��i �Ir•s�:..s_ <br /> Z Other <br /> -_PES T ICiiDEG LE GROUNDWATER TE PROTECTION--- _ ---------'_ __ <br /> J - T - r-- T <br /> ��G�i' material I am pUrch.asing vAll I not be [Sed in a Fest.-I = .td? [?snzkgc�Il 'nt <br /> FZone (as described in Section 6ef_�, - Tit-le Z, Cali omnia: Coda refeg- <br /> 1iI_ L <br /> i..E�Rtions1 fOr agriCU1 L.fi`•-{.ca OUft_- r ss..Lkk_i.:n i�r .3u doo_ indust r_ t <br /> U aL e <br /> F _' The material 1 aM •purchasing ',,rill be used in a Pesticide Managem t Z-ne <br /> f described an Section"l �E(.i? Ti it! "'g CaIJ forC' ia, 'ode of Regulations! <br /> .s descry � , <br /> jr agricq.,iltur•al , o;_atdoer i.nsti.ti_sta.onal of outdoo, indii�traal �€se and <br /> copy of my restricted, Mater?als permit i3 attaC�"!*_•'�_'.' : <br /> Fr <br /> Simazine _� Liro1TIacil <br /> Diur-on i_7 arc r=y_un C_' Bsnta.zo;-! <br /> F. C'ert:i.fy udder ���rta1t; of per,iury that the foregoing 4Latement is trl.ie, <br /> EdL.,nat 1 wi1 ? not apply any mate;riai li.ste�� in Section, 6900(a) in any <br /> r Pppzticida i` ,-;ra9e-.Tj--Mt Zone or agr icultUre, Outdoor institutional or <br /> outdoor industria-1- uses except in acr---r dance with -a par-mit . issued t`r`y' tha <br /> aor is 11 tI;Y-al CCilR i 1 '-i oiie c-r� the di re'-t,---r in a COUn `;' ' n Whim <br /> thara is no commissioner. <br /> i <br /> s <br /> Purchaser t,a: <br /> i F <br /> F. . <br />