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SAN jOAQUIN COUNTT PUBLIC HEALTH SERVICE'S <br /> ENVIRONMENTAL HEALTH 12=1011� EAST ��� <br /> P.^.. �- 3. S tt VVEBM all►'EI�UF-: 5�t3cXTON, ki 962�3t <br /> Q061 46"420 <br /> MON-WUNDYRIE KOPUT fll"REg ! TEM!n1�1 NET!srnfm <br /> JTLICATPON M HERE BY MADE TO THE SAN JOAOtAN elmoiTY FOR A PFRWT TO CONRTRUCT ANIINOR IN67ALL 714 WORK 31E90CF11119 1. -!4o��•C.tTICH!3.Lff ?i--&;T-,;ANCF YTTH SAN <br /> /^:T/�TfL`w"`fAPfSR�?(� .-Au-, <br /> � .;T,ZTAN 406 OF MAN JOAUUIN COMM A70UC HEALTH 9ERVICEB,ETIVIROMMKTAL HEAL-M OM81pN. <br /> as ADDRESSOR -7OR A 6 -I �C�C 1 T i L I-1 U =NV Q-- TUC...K-T c)� .. � �'.r+:. �6 ;SLD �t <br /> WNF„-sNAAw I T O I C� 10) LaU I?l I��w�•,,� E.�3�0)yQ-5T76 <br /> 4T- <br /> aF.TaARTL►HWosTe STVCr-, =x10K-7 J.�ITNC ADORES, �FIG� S. Q 1¢✓IZuc.� J:c►���Lq� p1.R#F. 9fG ���-JIIp <br /> w. <br /> LmCONTRACTOP .tCOAF9S L1Cr` 3iIDl,E• <br /> E QF wallrulur. U PEW WELL L AfF`LAC*VjX r Wltt C44ONrrarx!Q Vtla-1 4 Orr-- <br /> LJ INSLL <br /> TAATION fFNI U WaL STaFv:p All LI CROSS xwwcT AEP.R � V!POR J <br /> U rJrwURWSP <br /> wr ns A� PEN.P. DEPTH PUMP T -M m"frrWATER <br /> 0 OUT-0f :vFu �^.,'C a - TICAL m�. >„i SOIL Pomm <br /> .rDEsrRucTw*. <br /> r DID-I.W wldi coNSTwuc?PON aveaFscwnow� a <br /> 'A=.-T7lAI u OPEI BOTTOM jyln Krt(2 DIA.OF WQL EXCAVATION D!A.Of CY WOUCTOR CASWO /VIA O <br /> 3 �IEII^CT7QVA E 11-.:a.T-PA"MUE '5t-'JJ '»f-of cA,PNcuarffL—_ V 71 ,7 1/0_ DIA-of V.WU CAMF*G 1'r-; <br /> JgL a uxx u : %mv 4:P3 iAfvTH uF c WXn 9EAL�� .; c J I,v fi a l SPE,,CAT..T <br /> gy�pp? �'1L'AT!OY-•!VJ n 3T!Ier■. GF-u-, LEAL OWAU-w er W CS'Te.— T/4. fir.GROUT BRAND NAME <br /> A uM1i??.LIFO GUT aE:.L Pli D: I�r� IR.tive COFMRETE PEDESTAL 6Y DWILFR:0 Y. <br /> s <br /> S <br /> wras®CONfT1NlC710N/DPrWMQ MSTHDb I+sIO RDTARvAIR RD?AJ„' ALI= <br /> W'Woy CTRr7FY THAT I H^%*PIETIARM TMD APPI)CATION AND THAT THE WOW YA L rE DONE W AcC RDANCt U,r,,W SAN 40AgUiTF COUNTY OPaiNANCEB.STAfE LAWS,AND RULEti AND <br /> .GIAATPCMS OF:'IE 9:.:i 'L.4:.LTn1 COUNTY. FiOifE OWNER OR LLCENSIED AGE!ET'S 811GINATUM CERI'1FE1 THE POLLOVIOM:7 CERTIFY THAT R/THE PEF6OW —CE OF THE WOW FOR WHICN <br /> U6 REWrT ID I&SUE0,1 SHALL HOT DAPLOY PERSONS SUBJECT TO WOOMMAWS COMPEMATION LAWS OF CALJFYJR M- CONTRACTOR-,-M,,3 L:. <br /> I CEIITiH <br /> Y TATnIN THE PEIiOFIE.ANCE OF THE wort MR wN1f7I TFI!S PERWr Ig!ED,r!!HALL rL4"Y PMODIM fG1&EC --0* N <br /> tOfff0AA 'f COMPff EN"TwLAWS OF <br /> 11�D AF!L.� •^�7LL7•L Cp,Ly- .�Y.^.6'r:.CM:-rte ALL PXQ'A--in'D IWi{FWrwnN/AT tlOIh+SSi4ZIL =04PEETE ORAIAANQ AT LOWER <br /> MEA PRDVIp$T.pled <br /> / <br /> PLOT RAN�.+w m Dora SOM4 I -m d O <br /> RM.>ED OF STREETS Oft-ADS MEAREST TO OR BOUNDING THE i71OPERTY. A- I--ATI""nc.•74L`9�. .'.^..0 '..3.:i o 7r .d Gn 7iw7OSEu <br /> OUTIIFE OF TF!FROPERTY GFy"40 DPM NGN*M AND NORTH OMPFCTM#d yyi^ <br /> EXP94N6rCN OF XFiV:,(,�^DiiPi SFJ_8`r'STL <br /> DIPEFKIOX!~'J OVL'LTJF,'S AISJ LC--A7� Q-. ALL El-JaT!Np AW PROP O"D S, LDCATFON OF Wr11 R V.PM*N RADIUS OF ONE HUNDRED FIFTY R. <br /> STRUCT7IREY,iNCLUDINO COVEHIM MEAS SUCH AS PATIOS.DRIVEWAYS.AND WALKD. ON THIF PrAVWSf-v OP•Tf,r+wlncn m,;ocv... <br /> : :. .. <br /> — - <br /> - d <br /> fir.Ir w <br /> ...........�. <br /> .. . <br /> .... .... -- .. .>...........8. :.......:... <br /> PWARTMENT USE 0Wy <br /> v/ AIY <br /> '+s Mia.atFen ET Due - <br /> R.nv IllrosctloAw <br /> n Ly <br /> mwt.,,tiq.nrlew'Y <br /> AccoLl rnmu ONLY: AMM 'AC3 1� <br /> t <br /> "= <br /> is i(■r6 ANw)IMrT iISMITTEp C/IIL:Y[1/CJ1SH rStT;$ym SY ' DAT[ G 1DSr nwetvmm REOUSST muhm 1 INVOIC[ 11 <br /> I I f <br /> ! I 1 <br />