Laserfiche WebLink
a ,... <br /> 3( iw aiwa+�6 Fr) Fr, . sSa i lw ltis�M$a4 ik',;�s ^rr °h#*Sa46c# ' ti <br /> F � <br /> � L <br /> APPUCATION FOR PERMI'ff <br /> SAN JOAQU1N1 LOCAL HEALTH DISTRICT K <br /> 19 ' HAz�.TON AVE., S 1 KTON, CA '; <br /> 47 E. <br /> '-TtfiEpliorte{�1•,49b'6T81 , ��,; <br /> PERMIT E:XPIki,'1.YEAR FROPA:DATE ISEIUED '. . <br />'i it <br /> .. : {V YIfla l• c < .t T -%' i�•q._.;` <br /> r Ap ,16 hsreby m 4 fa the San JOstFM LWW tisWd DklMft:t for a p W*to oonatno andfor krMM ft vrork huekl <br /> RI <br /> in "ft sin J0100%C "q Qfdkwnob 1'f D."for aswMos Or'ND.loafer MIM/pump w d ft Rdsiow RSoift"V etthe s w JDs*b.+ <br /> 1z y � <br /> 77- <br /> If .rs y' <br /> Address Lkenw, <br /> w , NIElN.WELL`❑ WELL R�UCEIIAEM O DESTRUCf10N 0.. f <br /> }{{ a t PUMP"*ALLATI& n SYSTEM REPAIR O CffMM 0 3 t <br /> fir TO <br /> NEM EBY:'.SEPTeG"TANK $EtI1IE1t LIffEB .___ DISPOSAL FLD.r.. PROP.LJWE e, <br /> AOR CULT -WELL C"ER WELL.NI <br /> PTf8fSLIMPS r <br /> {r USE�a "pE OF WELL PR09i9M AREA r CONS"WCTM SPWFICATMW <br /> i 7 . • : b epwi Somm OM I DW.of WYR Evow9don mss:of WA PNkq. <br /> x p. 0 Gw".ftek 0 Tracy Typs of C=k,a.. <br /> "' 3... of tirorrt Sssl Type of OMA <br /> ❑oda. DWth t <br /> D@P& 0 E"m Surfeoe Sed fto"by 4 <br /> 3. stm Wbrk� <br /> Two <br /> *q <br /> pe of Phrrtp N.A. � <br /> SSdNO MSjjWW(top 60'1 -- <br /> ■p* On <br /> SE <br /> WORK: . NEW INSTALLATION 0 REPAIRf14OL>l7IOM Q DESTRUCTION {sr If p&Ye sewer is <br /> {v=�, �a wIR sews:-:ftaddsr,Os Gorrsnsrt:id y- �O� , �ip� , <br /> bf urft.�:.. Nurnbsr of bedrooms tib'. <br /> L fi`d1N+etre.of sob to a_dspth tort a feet. Wow esbis drpth t <br /> TANK E] Tsps/Mfo Cspsdty No.Compsmt,srrts M: �' <br /> 14 ^Pica Tk1ENT PLT.O �a M00tod Of <br /> I Dbtfnos to r,es=' WOFaurrdadorF- PropsrtY.Uels D T <br /> s W <br /> A'Ln,p6+Of t1rMs I '� f Tow M {lWC 11 <br /> c <br /> t <br /> OF, <br /> ' >:IITE I BEI�� �" 0 Otlterres to nssrle :•WM Faerndsrlon ! Property tins <br /> l C ; <br /> ��' ,, rs�►AaE pt1'S ,�I �Osp�1l, /'' '' n� � <br /> Foundffftn MNu��bsr � •� <br /> i w. -+ r.�•�i� .O�MsiMIOe t0 rlMlRtit: 1Mp�� I lowty Lins <br /> '.1 ONtry t11st I tlsw prspslsd.t k spppD tion' that to wbrk vvV be dons h socordanos vvlth San Joaquin county ordk,anoes.stets taws,and <br /> 1111es' ofifN San Jot r't,ocsr Health DMdr L-- <br /> -ti a '.iHariti owiiif�YekrMsd Sam's alp ow �MtRlss Ova fod wtnq: .tial k,the prrfer,rrracs of tIr rroek tar whtah thlS psrmN IS Maysd.I atan not <br /> In sod,nom+sr as to bsconrs nl�ot to wcrRn+sn's aompsnvstk n Mara e!Caafarr�la."fantrsGta's hkk,p or wb oo�nrsctk,g dpnsturs } <br /> ih "I 1fMtlh"ta ita perfoo w"of the work for wNicf►tNs pMrellt A kiMrsd,I ihN sngby pirsDrM tMlbisct to vrarkrrlan's oomper <br /> �'� + Bon of�CdNonas." ' <br /> Ivwwt cafor 811 rad faetiarls dlewlnp on joe1dS. ` <br /> t.e , y, _•/�- .� Oats: <br /> AAV7 <br /> 1, F <br /> ' MR DVAPMNNENT USE ONill s t <br /> Aeapyrt by „� if-t.G ✓� Iasq���.� ��. Arm f sZ f <br /> k'r <br /> r� <br /> by f Oe1r `" FWW howee en M <br /> A, Ca+ lt <br /> 0 84 41104781 O Lodi 3004M 0 Msr,troa M7104 0 Tracy 0354M <br /> AppjsrM•.Rsdem s1*mow tot I!a+knrnmW Nfaslttr Pow*111swtesa 1001 E.M It If Ave.,P.O.Smr 2NO.Stk..CA ow <br /> AWKINT OM AVOUNt RMi7ED CCK a <br /> ASH RECWW IV DATE PERMI'NO. <br /> .t►„sar I,ay. ;se) 90 OU <br /> z_ S71 <br /> C <br /> i <br /> Y <br /> - -. - X':.. -,.�.. 'd'.."'Y`Atx.aV• fie'.. ..- .a y.,.. a.. �.^;- .e`u;,"it!1.-� ...tiFcb`�'i�n�n�: J�•sN�-�-((.. <br />