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Slow .M. <br /> -APPLICATION FOR WELL/PUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> — ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)458.3420 <br /> NOW-REFUNDABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> — 16MpIIM M TrIpRelNl <br /> ARPLIGY1MN I!HER eY MAM TO THE 9.JDAOMN COUNTY FOR A KKA E TO CONVFFXU T AW Nl INSTALL TM fRHEK M.E PFMEO,THIS AMMATMIN M MAm IN COMMIANCF.11 SAN <br /> JOAOVIN COUNTY OEVELOMNYT TRIF,CNAprq R.S 11D,'J ANp TN!FTANO-9 OF IAN JO4—N COUNTY RAMBO HEALTH BE.F.,FNNMNMFMAL HM"pMMMI, <br /> JOIAODKBMOn AFN['� �'7r` ' iti/:(<Z: iTf VFE!Sf I.I RUt cm ifiClCR1J <br /> FAAcn 7eJAFM � O <br /> I..NAME ill I ,•..,if�'nitiE1'RNAAooKo .�'!:Ei YIT. 71Jh'Ef' _/SED LEA(^��KorniG.A. <br /> coNTPAcraR !Jt II. P../I n)(]f-ff Sri+' {�„OC' 1 NC RON E”%' A). flITI; xI L <br /> SIOI COMMCTOR ��' ApppEtl � <br /> OCI PMOM I <br /> LYR Oi WSLVR/Mh ❑NIWM'nL El F EMINT WMl ❑MOMIONEW K[tlR ❑OTHIM <br /> ❑NAEAEEAFN N ❑mu V.TEM REAM ❑CbIISONNICTKFMR ❑VA[ONERTMCTMNMLL I_ J <br /> ❑.OR,FW N.P. DEPTH RMIV SIT 1. TROY WAT[II IIVFI O <br /> O ROF NMR \\ <br /> ❑OUT-0f SF11NCl N4LL ❑OFORIYSRALNRILI� BOB.e0AN0 / I[A S <br /> ❑DESTMICTMN- <br /> INTgpFp UES [ COXITRUCTpM SIEC IC <br /> �YJ IMIVBTMAL ❑OKN.FOM OIA,OF MILL EXCANATMN �� MA,OF CONOVCTON CASINO O <br /> ❑WIAE.T:R AT! ❑OMVn FACI(RR! TYR Of CASMYISTEI C MR.Oi YAOL C. 0 <br /> ❑RRIIKAXMMRH 13 <br /> , w. O ERN O[BROVT SEAI EFECNM:ATMN A <br /> RNA C3".AT... Ly OTMII A MWVT..L MRA1 eY OIMVr FMFA XAM[ % �.'•r�•M1T f <br /> ❑MoulraRNp / onoM SEAL bM[ED:❑Y. Ox. coMRETt Kxnv.rvowuFM1OYW Ory s <br /> AwMX.OERN Ir.- L..CMITTE SOXIROYE RK S <br /> MOIOSSO CONSTIVCOOMNNLUMO MRIMO: MY bTAM AM IMTAW AMBER X CAM£ OTNE11 <br /> — I HERESY CURTSY THAT I HAW RFFARO THIS ASRKATMN SHE?NAT THE NOK WHL K CONE M ACCO DANCE YAM SAN MAOMN COUNTY OIOINANCFI,RATE LAWS,ANO AMAS AM <br /> ROMATMNS OF TM IAM pAfffn���VIN COVIRY,HOI.R OYANIM On III"I MINIATURE 1111111[OLLO'MNO:'I CFRrm THAT MTM KKOR,I.WCF OF THE NOK FOR W111CM <br /> TMtKWRISItlVfO.yOEylIOT tMROY KASONS MRSACI TO WMMMAN'S OMAN ApOM LAM M CMNOFMA.'COMMCTOA'S MRNO OR SVA<ONTRACTMO SMNATURE CITIES <br /> THE,bLL01NN0: 'YGERIbfp/TIMT MTIR KAAME Oi TM NOK FOR= THII..ITM MMR0,1Ef-1-1 PENMARS SH—TO WOIIOAAN'I COMFdSANON LAWS OF <br /> CALROIMR.' iM AFRI T MINT 0 • W M AWANCE bR ALL Mp1AR®WEERTpN.AT 1.1•tliLM.CONTRITE dMW1W AT LOWER AKAM <br /> FNOIDy <br /> eyrX MM 1"V41C r7f^T ORRF <br /> " M1OS F4N IOr«M1 Mn.l M.H_ <br /> 1.NMIIStt TR(TS OR IOMI MAKATO OR eOVrIM11STM ROIEIRY. •.LOCATION MOI.MEIIWAO[MMT.I.M.. On RobS[O <br /> S.OMLMFOiTM1MKRTY. L..MIMNMOM AM.ANOIKCTMM. [XPANMAI OFSEWAOEMMEAEry Of ONE <br /> S. TM TM KO OVIIMEI ANO IXIO ARE OF ALL IAAMO AND E O Al.. S.IOCATMN FF WILLI NT I MMIIS Of ONE MINOKO iNM1 R. <br /> STRVCiVRI,MLVMNO GOL2R0 AREAS SUCM M FRTOI.OMVEY/AYt.AND WAtRI. ON iM RORRTYOn ApbIHTV RUKAry. <br /> — <br /> V <br /> - � r <br /> Lw <br /> 1 <br /> apy'MER'T <br /> — J i n v �I ? w1EGE1`PED C <br /> 'v > ` DEC 71999 <br /> SHN JOAQUIN mwlTY �. Y <br /> =_NVINONMEMAL H6/BJE.*N n°wiwN I. 11 <br /> I Y i <br /> \ i W <br /> . V�)T,�w <br /> ANA <br /> — G I I VvvV MTMMIT M.!V�1\Y �^q <br /> mw ANwIHn sr o.l. R.�s wS..AN�er vn. <br /> p«...n..L....x..er OR.. <br /> MRS «. <br /> ACCOVMTI..ONLY: AID[ IACI <br /> — IF COOU In IMO AMOIMT AGNITTIO [HFC TNH NEI IY DAT! IEIMTNPNCE nEOWT Y... INVOIC[ <br />