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2-OS-1997 a-48PM FROM P- 1 <br /> APPLICATIOP <br /> SAA JOAQUIN C01 Past-it'Fax Note 7671 DateS .r page <br /> EH{11RDNMiT From .—t-l.�r- <br /> P.Q, BOX 388.304 EAST WE Cojoept Co. STC <br /> I PIono# Phone fitckq � ) / <br /> IION-REFUN A13LE PERsw Fax#i I pax a, <br /> A�s'LICATFOH IS If ^' ICQ TY <br /> EAE RY LIADE TO TSIE SAN JOAOUIN COUNTY FOR A PEnwT TO CON <br /> JOAQUIN COUNTY OEVELOPYENY TITIF.CFIAP vR 9.1119.3 AND T11E ETANOAROti 4)., <br /> •vR�OrTwCa•C+�'pCAVw.COaC.A^•gYN�IC1�l I.��.rI1C�mrKlwr� <br /> JOR AOIMEBRIOR AIti1S L L.. ll! ►.l L- Zl O-�j`{ <br /> Glr'r_5�4c.�.'raN PARCrI 1:12ErAgCF <br /> ew/+ER!NAME <br /> �CONTILAC;TOR ADDRFRRgS �, <br /> / � R <br /> lIIR CONTRACT 17 <br /> BEMIONS <br /> T 1 Lr�1 N[r_ �N��y �OEy ADORES, Ct�•�� <br /> Y WfLSiPUMP' M NEW WELL ❑ REPLACEMENT WELL t9 MONfrORIMO WELL I�I '��Z 3 ❑ qT►fFR _ . <br /> ❑ INSITALLATION ❑ WELL SYFT[IA REPAIR ❑ CROgs-CAHNECT AFPAIR ❑ vApon EXTRACI ION rvFI,L F <br /> J <br /> Nwvr❑Rwne6 N.P, OFF'r14 11,IIAP SFT FY_ FIRBY WATER CFWk <br /> rrrPE of PUNIPI 1 D <br /> ❑ OL1T•Of•IrSRvICF WELL ❑ 'IE0ll'y6rCAl,VyfIL F f:Qrl SSSnwO��r.17 tine ! <br /> ❑OFSTRUCTION; .� <br /> INIE11DE0 ULE TVIIE OF WELL C0110TRVGTION BPEL;IFICATIpI/i <br /> 0 INDURTMAL ❑OFEN 80 TTOI,A OM nF VVELL EXCAVATION tiL <br /> DIA,OF CONDUCTOR CARIN[I <br /> UOMESTIC/r'RIVATC ❑GRAVEL PACAl917F Tvt'E OF CAF1NRrr-TE[LFVC^.3DIA.AF VvELL CAVNO A7 <br /> ❑ 1'URVC,MUNICIPAL ❑DIuvEN bERN TOF C•ROV'1 sEwiO_ I L - <br /> LIECIhC ATION' <br /> ❑ IRNOATMNO A <br /> OTHER CSRUT OSEAL W%TALLEO BY•y 1 ORQifr DRIM <br /> ANO NAE f <br /> 13MO*IITORfNO f OTWUY RlAL IRrM1'fO: ❑Y- El N. CONcfurE PEDEa1AOP <br /> JI <br /> aY DI.I[n-❑Yr ❑Nn ,c <br /> APPIOX.DEPIR �I Hvy�1l 1,,. 2�p.1_ LOCKINO CwEBTER ROx/STOVE nIRF _ <br /> �Y 1 <br /> IyIOPDSEO CONSTwUCTIph/bNlllNO 1MRIiOeS <br /> : MUD VOTARY AIR Il01 ARY Ati,IGER / CAKE__Y F__OTNFR <br /> REVERY CERTIFY THAT 1 IIAVF InR.AnCI)THIS ArRtFCAT1ON AND THAT T14E tiYOIW vlALL Of DONE IN ACCOnOANCE VATH BAN JOAOIIIN COtUr rYORDINANCES,VTATF LAWS.ANDIff— RllLEB ANO <br /> REOtR ATIryNO Of TWE RAN.IAAOUIN COINYTY, HOME OWNER ESR�FCE/+FEO ARFM'0 BIONA7VRF CFIlrtttESTHE FOLLOWFNO:'F CERTKY THAT IN THE PCKFORIuIANCi Of ittl WOFK rqR <br /> TIf11:11EnkaT 38 ISSUED,I BI{AIL NOT FMJX.OY PERPONV 51MIECT TO WORKAAAN'■COMPEwoAmer LAWS OF CALIFORNWA•' CANTRACTOR'B HIJUN 4v11[['11 OA SUR•CnSRnACT1N0 SIGNATURE CERTIFIER <br /> TNF FOLLOYIAHT 1. '1 CFRTWY T#iAT lM TY PERFf+R1NAHC.F,OF THE V'(1rW TOR WHtCII T&ritl iF.R1.11T IR 100LIED,I RHAL)_EMPLOY ifnRft}I>f FUOJECT A u.cwhrAN'S 3NO SI NAT rC FFjf OF <br /> I CALIFORNIA.' I FPUCAWT UST A >!ft LiAS I ADVA OR ALL REOIAJIED INSPEC71p1F!AT 12%n)AlPJA27. COAAFZE'TE ORAWING AT _ <br /> 11 r LOM/ER AnFw I"ROv1UED, <br /> Otprrl x Tin.C T t{' - <br /> � !PI1 eoii3 <br /> PLOT RAN 10.e.+'10 Sewl 8-1.�W <br /> 1, NAUEO OF STRFFTF OR ROADS NEARFRT TO OR DoUNnrNG TM r"c"wfrrY, re 4. LOCATION OT rlDuaE R{vvAGE DraPG$AL 8Y%TEH OR IY+rfrpsFb <br /> 2. OCRLINF OF THE PFIOFERTY,eIv1N0 pINtEHSIONR AND NOrrTK DIR£CTIAfI, FIPA%9IIOH OF REWAOE DISPOSAL RYSTIEMIB. <br /> 8. DIMFNBIONEO OVTLMf,Q AND LOCATRSN OF ALL fX16TINO AND FTSOPOVED S, LOCAT"OF"LLS M/rTHIN RAMU■OF ONE NUNOnED FIFTY fT, <br /> BTRUCTURES,INCLUalpo COVERED AREAS SUCH AB PATIOS.bftjv%WAYR,AND LVALK11. ON THE PROYEFRY OR ADJOINING PnnEE1TrY. <br /> Inc.. .;..., <br /> ® 'p-A .~ <br />