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�en>cs� wv� <br /> ( I <br /> � I 6TI <br /> I I y <br /> I I orL �m <br /> I I <br /> I ri <br /> Iq o2 <br /> l <br /> � � 1 <br /> c <br /> I <br /> r <br /> r <br /> fit <br /> t I titi <br /> I <br /> isi <br /> tlA <br /> Zst �e <br /> mereoi, will oe more than mtrty-six (36) teet high. (Uhapter 3.2, (iroup 2, Article 2, Section 341, Title 8, California Administrative <br /> Code). <br /> ❑ As owner-builder, I will not employ anyone to do work which would require a petmit-fromthe Division of Industrial Safety, as <br /> noted above,unless such person has a permit to do such work from the division. <br /> ❑Division of Industrial Safety Permit# <br /> I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county <br /> ordinances and state laws relating to well'constmction and or sewage system construction, and hereby authorize representatives of this <br /> county to enter upon the above-mentioned property for inspection purposes. - <br /> Date Applicant <br /> EHD 43-02-007 12/23/2003 <br /> Water Well Perrnit Contractor Declaraction 4-02 <br />