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oossreva <br /> APPLICATION FOR L PERMIT <br /> RJ SAN JOAOUIN COUNTY PUBUBLICIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> v 304 EAST WEBER AVENUE, STOCKTON, CA 95202 <br /> (209) 468-U20 <br /> NOR AFFORDABLE PERMIT EXPIRES 1 YEAR FROM RATE ISSUER <br /> (I<IFrIER IF T]I]IlnMl <br /> wWLI[nlpN M 1RH A'MADE lO lNf eMS MA AmN COUMY IOII A IIEM1T 70 CONSTRuCT AM]pR MRrAµ THE MIA MSCNOM TWA A RICAII N IE MAN INOM CPLIANCE WOII EAx <br /> AngRx COVM'!aEYHOR/A,EMT 111V,�L/MYxLfN/O I I1�5.J ANp THE ttMANOFOF EAR MACON COUNTY NNR HEALTH eFOAn EA.ENNNOMIfMTAL HEALTH CMUbN. <br /> JOS A...AmRF/ .L3SU ( �M1ifi� S-� ,�E' ER, rAENt dEVAIW/ <br /> MNFIPF xAME PC _ ��T A... 1' ITpMf r <br /> coMNAOTOR }.7—A _ �7C' Aodaea P6�-iro Rn..z�� ` u[F '' . <br /> AN wMMC.oR ACdISE gNINE r <br /> I HEN MTLLMMI ❑ 1!W WTE( ❑ VFgAOEMEMI WEµ ❑ MOMIaWXO"u• ❑OF.. <br /> ❑ deT/dV.TRM ❑.mrm REP.NR ❑....O PHAEFARAH. ❑...RAT.F....ELk 1314-1:3AR J <br /> FMBTWATERTEVFt <br /> nYR OF Rvmrl <br /> ❑OOT-OF EAA CF.eFu ❑ Ocom.RICAL Vnu. ❑ eon.mSu IF <br /> ❑ofnMFCTIox <br /> tMAEw <br /> rFNoeo xE eaxM A <br /> 13HAPP1RgM Y❑tORM TATIOM MI OF WEµ EAC•�VAfMN1MX dA,Of COHO1ICTMCAEINO p n\ <br /> AbAREETA., LIOMVµ fH:x.N—_ --,RCA6:MRSFHI OM.OF tCAM. <br /> 13RIIM]CMOMCMAL ❑NEVER dITNni OROUt NFAI FICAT N V <br /> O ANHEATHAV. ❑OTMN NAAFT..RAO.eY OR.Ou RMW NAME E <br /> ❑ wTFr1.. .RoHT..R mRF.: DY. ONA C.NCIETERONETALAYOEµEEOr. ❑w s <br /> ...NOR LOQINO CIFFreN eOznROVF AE s <br /> NbNIm CHREEMKMNMEW.MA.O: MVOIIOIARYAIN WT.. A". [nl1E OINIT <br /> E HEREOF CEMFY THAT I RAW FMVAART Tde M'PEFATAN A.THAT THE MTllx M 9E OOM M ACCMOMSCEWRH AM pAdM1COUNTY OMINAMIC EFATE IAWN.A.IHIIEF ME <br /> OF MF RAN AAOOOJ COTMTY-VOME O-NTR OR MKENMO REPORT'.FbNATU1F CENINNO THE rOLLOMHp:-1 CEMFY THAT W TM RMOIM4Ff OE THE MOM FOR xTN[N <br /> T"""REFOR Mx D.IWIAµ.TEIAROY(ENOOMMIOJLCT TOM'MFMANYCOMT CANON"VIAOFCYidWM_- COxrpACTOR'ENpNOOH m6CONITIMTNi WMATIME CENTFNF <br /> THE.. 'I C[RTFY TIAT M Tltt MNOMAN[F OE TXE MOM WR WHKH TMO TMR IE MNFU.S MIIOF EMROY gxbNE W61ECT tO MORRlA.9 COMIdAA.N UWF Or <br /> cAMo1MA- C=Au M NOdle M Aw1111Ce EM All IIEgNN®d IMI .AT IMP.43APS. COMx(Tf NIMOAM AT WARE AREA PbNOEO. cG (y <br /> MET MA.IPw.n NeWI OeFH y.0 <br /> I. HAME.OF Pl.Oft..F MMEM IO OR OOUItlIp THE RpRRTY. .. TOCATRIN OF mum am"I dMOOA`EYRTiM OR ARNEWO <br /> ].."FLARE OF THE MORRIY,OIYR4OMENPOM Mq.RIN ORCIMN. fMPAYpON OF FEWAd NEW FLL IF."... Ca <br /> ]. g1]fNBpNfO dRUFR.MO LOCAIA.OF All IAMFMO A.RMA.TO ..LOCA..OF NNLL.WIIMFS RAWF OF OM M1NFE E0 FEIY R. <br /> FORm,TVIE.-FICLVONAI COVFIEO A..OUCH Ae IATb,MARRA,..A.WA1NE. OX THE MpFERfY ON IOJINIIIIMI MORIRV. <br /> w <br /> i <br /> n� <br /> V� <br /> Xs <br /> Q�t' <br /> ............ <br /> a...A..w r_ A {- V`•l/F 1'-r,ns`.en.:.m ram /-W `E L <br /> c.A..A. 7.28-44 NonT`rr Pd 1]QI <br /> ,nY Tq.MC .ODP IAp <br /> PI.COON FE[MFO IMOUNI NOAIIIW MCM A O r[ ONCE REMIEM MMeBI 11WOK! <br /> 3� 650 D.H IR70 A <br /> Pub M.adth SOW.-EnHm.173 ow) <br />