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San Joaquin Valley <br /> Unified Air Pollutiot { PH z; o <br /> APPLICATION <br /> AUTHORITY TO CON <br /> ] ATC MODIFICATION <br /> q PERMPr TO OPERAT] <br /> 1. PERMrr TO BE ISSUED TO: <br /> "1 q <br /> Z. MAILING ADDRESS: _ <br /> � N � L <br /> N <br /> Ce), —S)dCAYS <br /> tl <br /> 3. LOCATION WHERE THE EQUIPb"INT WILL BE OPERATED: <br /> screau -7 D`7 �A e t Fc� V AGN v <br /> 4. GEHVERAI.NATURE OF BUSINESS: S <br /> EQUIPMENT FOR WINCH APPLICATION IS MADE(Include Perms .. ❑ <br /> Ott C>e-tzk-2-e-CL- . V4 ( l <br /> � i o <br /> ❑ <br /> rm <br /> a� 7 <br /> aQ <br /> LnU O <br /> 6. HAVE YOU EVER APPLIED FOR AN ATC OR PTO IN THE PAST' _—' ! Up On <br /> 7. IS THE PROPERTY ZONED PROPERLY FOR THE PROPOSED U5 -�"'o k� j aLLm� ru <br /> Zruz, L L) 0Oow •a <br /> S. IS THUS ArPLICAi IOir.-US,r-1I 1"ED AS A R.WULT OF N-N'OVm _.��Y �^j O a a 2 � <br /> , � 0 5¢w / P a 11I <br /> 9 SM ATURE OF APPLI L1 Q� `� n'r <br /> f <br /> n ✓ r O <br /> µcoLnO <br /> 10. E OR PRINT NAME OF APPLI o 'a — - <br /> ry <br /> ow <br /> df0 IL <br /> FOR APCD USE ONLY: <br /> DATE STAMP <br /> FILING FEE <br /> RECEIVED:$ <br /> DATE PAID: <br /> PROJECT NO.: <br /> Northern Regional Office *4238 Iceman Ave., Suite 130 *Modesto <br /> �PrrteeA an pecyeb�Pe{xn <br />