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APPLICATION FOR WELUPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)458-3420 <br /> MON REFUNDABLE PERMIT E%PIPE!I YEAR FROM BATF ISSUED <br /> lumpl\M M T,Ipn 1.1 <br /> A ATM M IMM W MAINE}O THE SAN JOA.COVNIY FOM A F£MAIT TO CONSTRUCT ANMA}M MOTALL THE MW MECRMb.TIIM APnICATNHI 1.MAD:M COMMUKE WITH BAN <br /> JOAg1N COVNfy MVFLOAfM 1n1E,CIWfF11 B1116.3 ANO NE rtANOMpp OF SAN JOAOMN COU n10�j}�C IIfµ/T]N p[IINCfE.fNVXbNMFMµmµTN OMpM)N. <br /> JOe AODEILOM MII QFl CRY �/I '// PARCEL eRE//JNI ��(J <br /> ONMA'e NAYE54't;201AODLFNI C <� nMM In.\f7 � <br /> CDmwcroM 1 AOgMn 14 P• M.bI5dFE7C <br /> .CONTRACTOR A..Mb ME MMHEF <br /> TYRMwnLa1MR OHMJJ ❑IMwL FJJHHTW 11....wfLLuk..... a <br /> ❑MW.WATM}N ❑MILL Werd M. ❑....pMIFCT MFPAM 11 VMOR ERTMM.M[u E J <br /> 13.—I3mFM N.P. OEPTN PVMPw R. FIRST WATIM LEVEL O <br /> nY14 OF wMn <br /> ❑WfdFeEMVN:E Mtvt ❑aFOnIVCICµWFLLF ❑ b0.bnNp M <br /> ❑OFRMRTNIN, <br /> INT WOm VFE TV"Of WMA CONpTMVCiMN bNpCAto. A <br /> ..����❑FF�I�N""Wl1MIµ �F❑yOP�N bTOM qA,OF WELL ERCAVATMIN MA.OFCONOVCTOM CA O <br /> L-jK.Jb1.: ATE dZ40AFL PA .I TVR OF CA..lff}TVC A.OF MtLL CAMM) O <br /> ❑WpIICNVMCFµ ❑OMW. MPfM OF OIOVi eEµ Y• BRCIFICAiMIM M <br /> ❑INYOAlgN1A. ❑.THEM OMVr RAL INRALLbW / OMVf SEAMS NAMFG O'er F <br /> ❑ 01N COMM.FEMETAL.16FRIEwO Yr OJNs J <br /> A.., mvn. � 70F L.N.CHErt\R bRMTUV/HET \� s <br /> FIIOgFm CONpTNVCMNMeMW IATMOO: Mb10 TAWAN 11OrAM AWEM CAMLE OTHER <br /> :HE4eY CTHAT I HAW FTEPMIO TMP M AJgN ANO THAT THE WMJA N111 Nf.ONE M ACCOIOANCE WITH FAN AAWM COLNITY OIOMN .G.STATE LAWS,ANO MAI.AMO <br /> MO *Nll Or THE SAN AAOI COVMY.IpME OWNER OR I WJHO AOEW'E MOIYTVR CERTNIE\THE WLLOWIIM:'I CIF. Y THAT M THE RIIOMAN tOF THE MW FOA WHICH <br /> TMSR MISMRO.I01ALLbTE MRMM}NSM. TTOWO AN'SCWMSAMRUM OFCALROIMA.'COMMCTOESMMNOORNILOMTMCTMOM ATUMCEMN $ <br /> THE FOLLOWTNO: '1 CEMRY TIMT N1 RIf NAME O[TM NOIR EOR YMM:N TMp PRbIT IS OOMM.l SMALL EMPLOY MRb e11eJECT TO WOMEMAM'S CO SAMM U OF <br /> CAMFVINLW.' 1T 1]bl.bif N.COMMFTE gMYAINI AT LOWE <br /> N R IWIEA M9NDf0. <br /> /J, �1�z21 Y f i1p� <br /> ROr MN MFE ro patl.l Be.l. <br /> 1. NAMM OF MRRS OM MA.S MARBT TO OM eA.HOFFT THE RURRTY. f. XPANO N 431...W MAGE t M.AL RMµSS. OR ITOIOFFO <br /> }.ONLME H THE t.MF0 A, LM A g N OF A L ANO M]mN gRC1 f FIIPAHMON OF MAGE gplppµI..1 H. <br /> ]. TM TOJMEO LVNFS ANOMOAFKOF ML A.PMOAM]R1010M0 \.LO THE Oi W[LLSWIA 1Udll\O[OmMVNOIFp F,RVR. <br /> BTMICTV1Yp MCLVDNO CO VEMp AIEAp e11CM AS PATMS.D\VFWAYS,ANO WAIKS. OM lm R9RRFY OR AOAINR.O RRIRRTY. <br /> P1'LMMEN" 0 <br /> SEP 2 81998 <br /> �\ n <br /> —`, SAN JOAG TH ScRa <br /> E]VBB'L1 IFION ENTAIT' SAIJHICES <br /> [NVINeMMCNTAIP�I:fH OPJIS'.c� Q <br /> t/U Q <br /> I�1 �eW�w <br /> N <br /> ,�,Wy�� oEFAMMI <br /> TNT ueE ONLr <br /> APF=.rl,,,Ae.Mm er W11WF171 <br /> CA IAV��(/r/II\� OF. <br /> O,cN I. pwtlll BY OM. RmP IrA....pr LM,. <br /> Onln<nnn Ir.Pmnw er ON. <br /> c.mm <br /> AC..—TR.O oxv: um FAc} <br /> R coOFI FEE.. AAAAM'MEMTTw MEC[IV[OW OAT, PEELVTMf fM..T MIME. IxvO10E <br /> 17 52G 10 3/ 97 /L/0 0'F3 30 <br />