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APPLICATION FOB WELUPUIRP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> Siew ENYIRONIVENTAL HEALTH 01110110111 �•f <br /> P 0 BOX 315,446 N.SAN JOAQUIN IT,STOCKTON,CA 1162014M <br /> MIND 4111-W!" <br /> MWEEFIIUJW FEINIF E MKI I TUN FDOr DATE 1880ED <br /> mmook r Y 145 a 4 <br /> AFFUCATION M HEM BY MADE TO THE SAIL JOAMAN COUNTY FOR A PEPOW TO COMSTIN/CT ANOMA NMTA U TILE WOW DESCIGNO,TNI APRICATION 1S YALE N COMPIUMCE WTH SAM <br /> JOAom COIMTY ormoPE1ENT Tm.CHAPTER 9.1115.3 AND THE SMIA <br /> TANOAPPM OF SAN JOAMON COUNTY KAM HMTH SCES.OWNIONNNWAL fEALtN WymmoM. <br /> JDS AUOESIOR MW .2170, W- {j r a'11T i 1 A L Ed• c" Twt t 11 PARCEL xEEJArNF !Od M 11.o r <br /> IE <br /> OVOWS NAM_ 0,111 1!D Jt h r ADMEN J 6 s 15.r A r0yl Ayt>,Trn(- V" v 43 s-I3,b <br /> cawrRAMrOR G:ol.4icalLL��T 5lrMi4;5 AOMKM I�{?3 .rP(.I1InILS1MAUG T nloaEa45'�-D <br /> KN coNTRAcroR Sod l f Gxl to rg him y t F V l L;f_ -ADOREN5r�1 5,o rr� �P. atJl, 4�uc.P 10 b nMME- lyt717, <br /> rmsfuLLMM 0 NEW WnL 0 RE►LACu*w vim O Maammm vo&L F O OTmm - 13 <br /> 0 WWAUATIDM O WELL VMTEIA REPAIR O cromm ONNECT IEPAIR O VAPOR waw&r10NWBL r J�-t <br /> 0 N-0 Rp.M R.P. mrm PUMP EET_FT. FAST WATER LCM a[[�� <br /> RYPE of PLIAIFI O wT•OF•lmmE WELL 0 OEONNSICAL wEIL F ® SOLI SoRNM i 0' S. <br /> O OESTmm TM OF Wnu <br /> REICI1o11: <br /> ` <br /> �/ A <br /> ❑NIDUSTISAL ©om ooTraw DIA.OF HELL EOMUM TLON 6 ,•'1 JJ MO-OF COMOUCTORCAS MS <br /> O DOMESTIGFRVATE OORAWL FACwJNWE rM OF CASW MTWAVC OW OF WRL CAIM. - <br /> 0 PUK1CmumcrAL O omvm OEM OF GROUT TEAL loo <br /> SFECMICATION R� <br /> 17 SFEOATIONMO 0 oTRER GROUT SEAL WWAUED Et p YROVT E NAME o'tI,% k 1—. P •E - <br /> ®Yo1Rromm wow PEAL PUMPED:DYw go, cONC.IE'fE FEOESTAL DY DRELIgI:O Yw ON. s <br /> Alpmx.owTL to -f tc r LACNNMC1 xmvO1USTOVrt'FIFE a <br /> PRIMM COM MMTM MMOINU M RWMD: MILD ROTARY AM ROTARY --%—CONIC OT-t-- <br /> I WRE&V CERTIFY THAT 1 HAVE PIWARID THIS APPLICATION MID THAT THE V,*W WILL W DONE W ACCOMANN WITH SMI JOAOUIN COUNTY 01 M1ANOW KATE IAM./MIO RING/AND <br /> RIM)LATMW OF TRE SAM JOACUIM COUNTY HOSE OVNrEII OR UC@M®AOBIrY MIIFNTIM!CDIFIPIE�TILE FOtIAWIIIO:9 CBRfV TINT N TIY PMfO1yA110E OF TILE MpML POIIMILNL'M <br /> THM PO".M NISUM I SMALL NOT MOW PE tWNl•INJECT TO WOFA 14WO*M PWWATMN LMH•OF CALMOIMMA.•CONTRACTONY MM OR 5Ml400NVrACTM WlWTME CaNlES <br /> THE FOLLOVAMW 'I CE IMPY THAT 01 THE PO14OM1ANCE OF THE WORK PORVWWN TNM PSNMH M NWW.I SHALL lYFLOY P9I00I4 SUILOW rb VrMW SFS OOMMMATMN LAMN OF <br /> CALIFOMWA.• TNG APPLICANT�LUSTTcA�U.$4 MOWN IN AOVANOE POR ML REOIMUO NIMOOTg W At OWN 449416W.COMFlCTE ORAWIIM AT WVRR ATEA PW410 D. <br /> sp-dx&-U: , toloq,-7- <br /> D.0 �—�• "4'S <br /> PIAT PLAN Wow M S."•MMI. U. <br /> 1.NAMES OF STRHT/OR ROAMS NEAMW TO OR NOUNDM THE FRIDPPOIITY. A.LOCATION OF HOUSE WWAYE MWMW SYfTOA ON PROFOOM <br /> E.OUrt"OF THE PROPEMY.MV"WINNOW AND WORTH ONOCf1OM. FWANOW OF MWASE OIMOML SYNTEIM. <br /> P.ONAAENW TMD OUTLNRN AND LOCATION OF ALL EIIISTNIO AM PNOFOSLO S.LOCATION OF WMLS IMTEEI RUIONM OF ONE W01011E0 FIFTY Fr. <br /> STTSIC711RLE6 SdCL11OMIO COVMlD MEAS SIICM N PATIOS.OIGVEWAYS,APO WAU(L ON TLE FROM.V ON ADJ FWFEWY. <br /> MOW <br /> - GRANT LIME ROAD <br /> _- <br /> w._s <br /> 19 <br /> ._.`. .....,..,... ... ......... a <br /> . ....... ..... : :9 ■hFNOriNA1E LOCATION Or wMHi1TORIJtO rata', <br /> .. .. ....._._.. 006('0 WVrW7NYSMOVUPCM LWATNf""""" - <br /> .:.... ..,.r ..: ..... ..5 <br /> J OAM REL ZiATE <br /> Z ROAD ...e.w-n•w.fr e,,;,wn. <br /> AFPM.rtl.n Amp%d SY NIA <br /> D.0 AMw <br /> QIWA MnF.eUlsn ST Dr. PM.nP 4Mw..N.n Sy O,N <br /> CanMwal.: <br /> AOOOWRNM OIIEF. AOf FAG <br /> R COOfS FM 11/0 AINIST RMMTTYb KANR IM(;EVO ST GUTI PE11lTISA{v1OE IEOIer MHLMMI MIIIOICE <br /> SaMDi WO ird <br />