Laserfiche WebLink
•� � � UNIT IV <br /> WELL RMIT APPLICATION M <br /> kR4 <br /> J., <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION (PHS-EHD) <br /> 304 E. Weber, Third Floor, Stockton, CA., 95202 <br /> E (209) 468-3449 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> Application is hereby made to San Joaquin County for a permit to construct and/or install the work described. This application is made in compliance with <br /> San Joaquin County Development Title,Chapter 9-1115.3 and the Standards of San Joaquin County Public Health Services,EnvironmentalAssessor's <br /> Health Division. <br /> 2 [� C I Cross Street&6jG CeGIC City LoJ f Z+p�ParceI <br /> WELL Location I J0 _w � +� !S •��`-� C <br /> r{ / QQ _ _CityS Zip�o?Phone# 7� <br /> PROPERTY Owner S Address <br /> + C-57 Contractor. <br /> IJP — 7Ma _Address 8 City �uot 0 Zipiau Lic#�`�Phone# lq 'g�j t; <br />