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1 HEREBY CERTIFY THAT i HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />24 D TICE REQUIRED FOR IN6 EASE CALL 209 9f3-7697 <br />SIGNEDTITLE <br />_ _. _ DATE <br />Application Accepted By" <br />Al <br />Final Inspection By <br />Character of Soil to Depth <br />COMMENTS ISI <br />/.... n I .,. n j j -e <br />FCFT# UMC V#VL r <br />Area "C jq" 1 ___Employee IDN <br />e ��,/_( f _ SPECIAL PERMIT - Approved by __ <br />f <br />Pit/Sump Soil Character: <br />too o mptJ V el cot 5Tiw., L'fditl'r <br />A <br />• https:/Ilfweb.sjgov.org/EHD/O/doc/166755/Pagel.aspx 5/11122, 6:15 AM <br />Page 2 of 3 <br />DISTANCE TO NEAREST <br />WELL - <br />—It <br />FOUNDATIONft <br />PROPERTY LINE * T 8 ft <br />❑ <br />MOUNDED <br />WIDTH .----_ - <br />R LENGTH_ <br />It DEPTH -_--_- r �' It <br />DISTANCE TO NEAREST <br />WELL _ <br />It <br />FOUNDATION ._ <br />_ _ _ f! PROPERTY LINEi n <br />(3 <br />SUMPS <br />WIDTH <br />it LENGTH <br />! I� <br />f< DEPTH.— r 2n 2 ft <br />DISTANCE TO NEAREST <br />WELL. <br />It <br />FOUNDATION <br />ft PROPERTY <br />❑ <br />DISPOSAL PONDS <br />WIDTH _ - - - <br />_ ft LENGTH <br />fl Dt1'TH ��VI�O YM�Q(llyp�_, <br />DISTANCE TO NEAREST <br />WELL -_ <br />h <br />FOUNDATION <br />_. _. ft PROPERTY LINE�'gTM' �L,,, f1 <br />❑ <br />SEEPAGE PITS <br />NumsER --- _-- <br />-- WOTH —_-- <br />_-- <br />_-- -- <br />—___—ft DEPTH ---__- It <br />DISTANCE TO NEAREST <br />WELL -__ <br />_ II <br />FOUNDATION _ <br />tt PROPERTY LINE _ ft <br />1 HEREBY CERTIFY THAT i HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />24 D TICE REQUIRED FOR IN6 EASE CALL 209 9f3-7697 <br />SIGNEDTITLE <br />_ _. _ DATE <br />Application Accepted By" <br />Al <br />Final Inspection By <br />Character of Soil to Depth <br />COMMENTS ISI <br />/.... n I .,. n j j -e <br />FCFT# UMC V#VL r <br />Area "C jq" 1 ___Employee IDN <br />e ��,/_( f _ SPECIAL PERMIT - Approved by __ <br />f <br />Pit/Sump Soil Character: <br />too o mptJ V el cot 5Tiw., L'fditl'r <br />A <br />• https:/Ilfweb.sjgov.org/EHD/O/doc/166755/Pagel.aspx 5/11122, 6:15 AM <br />Page 2 of 3 <br />