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APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 968,904 EAST WEBER AVENUE,STowmN,OA 95201.466 <br /> 1209)488-1420 <br /> NONREFUNDABLE PERMIT EXPIRES 1 TEAA F60Y GATE ISSUES <br /> Np1CaTAM p NFIIE <br /> A,NRl1M.AI TIW ul <br /> BY MACE TO TLE lµAI1gN1 <br /> 10/.Olpl MUNEY OOUNiV MR A PEgAT TO H ET `Tg ANDgA WETAU.THE W DRp-'FFAI LD.T .M EATFON 18 MADE N C,OM ANC,F,H BYI <br /> OEKLOAAENL TTI.ONM[gl&1116.8µO TI(RIJgAAD!OF tµJDAOUM COUN[y R M HEALTH Rtg fR,ENVIIf M~AL H[LLTI MM,,,, <br /> q.MFO.. .A.I�iA tZ(� ZTL <br /> W ��c\". _g l <br /> ewuElrs uAME p/, <br /> ���w`s I� `� ���w `m F [L. A.X! <br /> coxrgACTDn_V\\)\VQCRP\ C '��SEE'� <br /> eve muilWcr.q �-19E19 <br /> we <br /> T`''c°F—�I"^"" NEw weu ❑IIBLAc[EENT w!u ❑uoMrTm.0 wEu[ [7 OTHER <br /> (:3MrtAWTpM ❑WELL.WIFM I@IH1 11 , <br /> CM.tCONI[ M <br /> ❑EFM`T ❑VArOII[CIMCTOl1 WELL I <br /> Dt WRYN H.P._ .� OLRX pRAp.EC R FlRrt WA1MI llVRg� <br /> O <br /> ❑OUtOF.EIIVICE WELL ❑RORrvBgAI WELL♦ ❑ b11..011A'O <br /> ❑DFELnJCl10N. <br /> 00 L10 N. <br /> ❑y NDU.EgAI <br /> /C❑I MOOI.E1LetiMKMfXLVWJN.if O.M..OTOTDdEAFTOXi LKIL XLAVApN LRtl <br /> A <br /> ❑.VFANA OF CApNp D <br /> ❑ VpfdA.OF WCMFMD D <br /> C3 13.T..T. Of'M'T RE'-- tRFl[ATgN <br /> R <br /> �MONDomp aRovr eEu wnALEm a,-- <br /> (3. <br /> v _Ow coMRREFEOErta sv oRaup❑y. ❑w s <br /> Arpgs.DorH <br /> LOCR.q CHESTER bRTOK Af <br /> MgMtED CORETRVCTONDpY1NO pCTMD: MVO ROTA-r-_., F. AUGER-CA <br /> .THE" .11 <br /> IIE4.Y CNrt1fy THAT.NA--PAM.TNI.NRI[ATNflI u1D 1NATTHEVgp(NtLL eE 006E MICCOROAKE MTMWI.gAWM COVN[Y ORdNAMEL rtATl 4W1.8-q ERRE.AIp 1 <br /> p:OVUTIDM OF THE tNI JOIdpi COVHTV HOME OWEf[R Oq LIC TIED ARSHT EDXAT111E C[RTEE.11E pCLLOL•4Rp;gC[RTIFy TLMTIH TIE[g.ONAANI[Di TN! <br /> 1M.RI.NLpp.UIO.I WiV1 MOl fMROYIQBON.BVyFCi t0WMIMaM'1 COMFq.1TNIN LAW.DF CAU MMM.' W MgNMgH <br /> TIE FOLLOWIIp: 1 C[gTIrY THAT N TNL RMOIIMAHCL OF TM!NOM HE ..H TM.FEAMT N IBBIR.1 MALL ErNgnr rtw`RbN. MgNO M.y{EOMMLTINO BpNATURF CFRTFlF.�- <br /> CMYOIW`.- TTIE YMIC REDR CXLL RA MOW N I1WpX,.PoN ALL ROIlp11N.RTp IM AT ILC I AM. <br /> I AU,y m E O"W AT�ECTLTTO W ATEA '.c..m.m.LA t OF <br /> �S.gle <br /> nor ruH Io...I....•.I a.. <br /> 1. NM1LE.y Ff1EETt Oq M10N NfAXEeT TO OR eO VNOMO THE pgRRT, <br /> ]' O VEUNE d'THF pbIERTY,OINW""H"ANO NOT4 OlilcTgN. A' LOCATNIH OF HEH..E MH.dgO.AL BT.IEM O."ROAD EO <br /> f. dMFMppXEp OVTLgR.AHD MCATpN DF All EZI6LIH0 AND MOPoBED E.AM... <br /> OF e..E d.PoBZ.L.YyTO.18. <br /> FTAgTVMO T MFQFD COKREO AM EHC.A.VATS..dBVLWAyq AW CAIXD.gNMN918 NTMMgMV80F OlE,NH[NFO HRY FZ <br /> �1 _! ON IME FME4gry Oq MglNHq pq{Egry, <br /> �a <br /> 777 <br /> [n � �'A1YA4Ehr; <br /> ... Ri'f`t;{Cs <br /> f-48-rs�¢MAY 2 11998 <br /> , <br /> L ?SMC FGE1,ro k <br /> NVIAUNMgti ATH <br /> DOMTMpT Ip!OM', <br /> Arm <br /> o•pnl�r,.er_ d<. pm Fn..�ueM <br /> D..wtla,R.Fal,n q. D.. S <br /> Dw <br /> AccovniMO OR L AID. fACF <br /> I MmM <br /> peoD4 AMOVNTRD 'HEC IILCDV®!r oan RMITMOIWcl RIOIAtT NIM.EI BIyOIC[ <br /> * o% <br /> 2c�0 9a <br />