Laserfiche WebLink
G-16-1998 10:23AP 1 FROf-• <br /> P. 1 <br /> 5-12-1998 i:35AM FF�0�4 <br /> P. 2 <br /> APPLICATION FOR WELL (PUMP PERMIT <br /> �• SAN JOAQUIN COUNTY pUSUC Hp4LT14 SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENtiE/STOCKTON, CA 95202 <br /> (209)469-3420 <br /> >.,,,,,��tl�fUM4��p RMTi EXPIRES f 1�M�FlMlA DAT t�sef <br /> AP/ MATION 00 mM rY MADE TO TFf! SAN 10AAS7M '�**b Tfwkm") <br /> JOAQt1IN COIRRY DGVs•LOPMF1rr TTrll.CIfI,rfE11 9-1 119L" J AAR►tl� EFUMT TD COM TftMT ANO/OR AWALL TNl V"Me DEOCRVED.Tla9 AFI'LIGYTItlN t$MAQE IN COMPLIANCE YYTTII GAN <br /> _ 4A0�7 OF SAN JDAQt1fN COUNTY a 1191jC}IES l7K 4lpwsCL#, HEALTN Ommom. <br /> .LOLL A06REsaMR APIII►_�//� ►.�.. �Y /��f�•�-'f�� <br /> OWNER'a NAMES t�rY �,_PAACTI rCCKJA+IM S'4r j <br /> COMTRO :oR <br /> .ram -� .4' AOp1EIta 15 7 P n E' .r <br /> cDNLnACrgR,�� ADo+>E*eI 40 J��� s 5 �1 <br /> dr <br /> amvpNRlu!mm1F ❑ NCW � Q At tACEMfttr WnIL ❑ ma"frofaNa <br /> Q Mt;rAttArfDN EI WLttt avi' A FVWAM ❑ Crwes-coNNECT FAIR Q YAPOR OMPACTTON we"•. _ <br /> Fy"m ort vv N...I_IRrw "JI.— DEwrH pLpw su_}T. P.NST*Art" o <br /> 13 Dvr-0f-ACRmt Wt41. Q QMPWOCAt wkLL r [I ROIL eoft d <br /> I�oHf*NvcrwN; - -- s <br /> !Yr OLO Vi� YPL tl QLC�tATRtiC710N ePECITaCAT16Mi �— <br /> A <br /> sWXTMAI- 0r bsln aorrOM VIA.nt Yr£u,EXCAVATION Ol�.M CCHDVCP411 CAS1Nb p <br /> EI baa�4b*+s�P�vvATE lu ORAVlL PAcy;lahZF�W TY.0 w cAle1Mo14TE[tlWc WA.OF VOV_L tft MD p <br /> u>" OWMI(MWIPAL ©bMVrtN OfPTl1 or 6MUr etµ tifMgMATWN <br /> ©NOMA:MIUAS GRDLJr TIM W"ALIM fiv OROIrr!WKI NAME � <br /> ❑MdrflOitlN9 ClI'i 0MVE 4TA;PrRNf(y}❑Yw 1310. C6NCf�7E FCOL<R►M.RY Dau c+l cl Yvn Qn. s <br /> ArAllax•allrrn M w r M YV-J-- MW- 3 7 f <br /> tairclMr:4'NFQTE71 gOxi'!'MYE iilAt� s <br /> `�, RLDlOaM CONMTNVSTMwA7IR.IJMO MCT"on, MVD VOTARY_AIR npTARY ^%MlM_CA&V,�OTWR <br /> 1"MIM 1'CEATIPY TNAY I ItAVC PF"AMU TMM APPLICATION AND THAT THE WDW WMA.159 DONE IN ACCORDANCE WITII#^ft JOAO"COUHYY ORDWANCER,WrATE t.Awe,AND+IVL,ES A" <br /> MWOVLATIa"w 00'r"t*AN dDAOVRI COUNTY. HOME OF/NER OR L1CL!m a Am"ars"An"m em?Pl 0 TNi NCIJA wW NI7:'I GLTIIFY THAT M TM PIFFMI'LAANCE CW THE WOPK W W40t <br /> rM iolp"Y Is leffmp,I SHAtL NOT"Avf DY DCRwMII T TO WOWWtAW6 CONIMIN""OM lAW*OC CAt DwwA.- COLVTRI4CTOq tl HrnrNo 4>K 4U�CbNrMaTaLa1111aNATVF11 CERTtfltta <br /> TN6)'OL o%%*M: "1 W"IFY THAT ar THE PERPOIIIAANCE oP THE WORT(PDA WH:CN Tlas FOMM-If RN"M 1 01ALL f WW V MMONS LMLRIfl7T TO WOMMAWO COMPWOSATHM LAWS O/ <br /> CAl1FORNW40 IHC AFFUCANT I+MM7 QAL&AN NOV"iR ADVAMN POR ALL RECbWw IMISMINWO AT OW Aft4b*22. COM/LM bMk%gNa AT%VWJM AIWA P"VtKIM <br /> eIw x „�rel. � Ci!���.•.�.._�^+...5i.,�..:Y.°��q <br /> rtar ww wf#w t*wrw a—•I.— <br /> 1. NAMES DO WrFMVIL OR MADT KFAME9T TO OR DOUN0M TME PROSgAfV, A, L,OCATLDN OP HMIK KWAGE OISPOM fts.K-m OR JmOt'LMfb <br /> S.OgTI M 00 TME PI OMMY.OtVMfO OIME" MNA AND NOM!!0MCTLDN; C1IPAN9104 OF aCWAW 0HM*111 t 6Ymms. <br /> �.4MkffM1ONW OLRtIN*AMO L ftATIIIN Or Am CXMTIMO AND P"opoteo A• tOCATLON OP MILLS W-In NAOIIis OF ONE}4VMOI1[D FIFTY FT. <br /> arMMM" .) LVOIN$COVT*O ARGAB WJCN Aa r'ATL k bMVEWAYS,AND WALKR. ON"a PRcl'C*ri OR A"Imp tl Pf4DPERTY, <br /> : <br /> i <br /> I <br /> i <br /> .........,..�. .... r <br /> , <br /> r % �t ! i <br /> , <br /> i <br /> : <br /> IWARTM1INT URE ORLY�....�� . <br /> b—At <br /> QAt�M�ar Lr.N���n�l.•i+iAtlrl ry <br /> pM• <br /> DrrYkDeN�n lr.�Nlvn AY �'•• <br /> Dna <br /> ACCODM MO OMT: Alpe fACf <br /> IM Ctrolx Per tIIhD AMOLRrT ROUIITTLLD CM ILarr 1{[CEfVEO rY <br /> ! <br /> WIT, >•g11Nitl/bIVIGtE REOUEsr lILaLRt� llVr>R p <br />