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APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> RON REFUNDABLE PERMIT EXPIRES I TEAR FROM RATE ISSUED <br /> (UMIkir M T14RO.I.) <br /> AMWA,MN I[HER BY MAGE TO INE BAN"A...MA A RNAT TO CONBT FKT ANOMR IN[TKL THE MOOR M6CAMO.HAS AR'LICAipN IS MAOF M LOMg1ANCF WIIII BNI <br /> JOAOUN COUMY MVFLORAFM TOM LMMER�O9.1 115.3 AM THE[TAMAM.M BAN MAOUN COVI NBIIC NEAIIH BERNL[B.FNNbNMFNfK MKT.pNNNI. <br /> JOB AOOIEeeA)11AMr , F.� N A cm �+ Q12 <br /> vnNL[L BIxMAWr // 66••��/��T��EF <br /> oM«EN'e.AMF Imo{ LN E�� SKO [BsA�P_ PEMHEE�O.V�l JF!/ <br /> coxIRACFDR //��1L�E1 IlNl�ll�tc ABUE. )(9 Allhe^f' IIL�f DfJ� owNEn522—/42y <br /> MO C.WWAOMI .LBNIu LIC/ ARMIES <br /> ry1S OE WfLt?UME' ❑MFWSAM ❑IYIIACEMt.wEu ❑MOMIONMw[u t ❑OT.NL <br /> ONBFAWLTMN ❑M'[ ,O.E.WAV ❑CM[B<NMFCT N[.. 11VK'N1 FA'.T.W IF .I <br /> ❑x-11 RAW, MI.RIMY BET—FT. MEET WATER LEVR o <br /> OYR OF MMPI <br /> 13. `TE R � OOR .AIL..113 PER wFEAR <br /> to(DEBTACTM ( -5 . A/ T623CZ1v / <br /> 6:L <br /> rNluou m[ 1rn OF w4_ A <br /> C IHISHIMAL ❑OVEN BORON NA.OF WEU EBCAVATMN' NA.OF MMUCTOR CASNO O <br /> O OOMEBTIE P. TE ❑VSAFl VACKWVIF TVR OF CAMNOATE[IiTIL' NA.OE MSLL CATNO O <br /> ❑FOSSR, .. ❑VISHT. MI.OF NOUr MAL BISL.GLiMN A <br /> ❑IVWAlHO O 11 MM MOM.E NRAUEO BY OMVT BMNO NAME E <br /> ❑ISO... / � MVI <br /> ONKFWWMp ❑Y. GHS CONCALTEPEMeTKOR <br /> BYRL[0.OY— 0. S <br /> AFFRO.t MFM / © LOI:RMO CARVER ooxmrrOK MIF S <br /> NIOMIRE, NSTROVEiim....MRMO: TOA MTAFRAIR ROTARY ANTER CABU OTHER <br /> 1 Nf4BY CESHOOF THAT I ISAW MRSOM TWO NRCATMN AM THAT TME MONK YML BE DONE N RECOREAROV MRN SAV JOANp1 COUWF OMIHANCES.SfATF LAWS.AM RNEB AM <br /> RONAIMN[M TNF BAN"AM"""MES".MOST MANOR OR LICEMM AOEM'e SMHATO E C[IM[ M CE <br /> %/TEOLLOMINO!'I VERIFY THAT N THE R WO AAAMIE M 11N MMM FOR YAWN <br /> TWO FUENT N ISSUED. [.ITR MT FAMOY KORNAI*REJECT TO wWiEA..OOMMI ATMN LAMA OF LALENMA'COMMCTOR'S TOOM OR NB{OMRKTMO MOMAIM CFREMS <br /> lxE fOUOWIFtl, <br /> .1 <br /> VMAR THAT N RE RIEOIMAM.F OF THE NOIR MR W H TWO RFMx [O <br /> IS ISSSA .1 M [M <br /> NL itOY PERSONS W WECT TO WORWAN'S COMM <br /> MSATN UWe OF <br /> COAR01K'MA. }L <br /> aAU NAOMNIOE.ALL AOIARM SHISIONTt I II.POR•My»•COMNEVAAFTHO AT LOWER AREA <br /> U ! <br /> D. <br /> NOT PLAR.-1.Balx..I. <br /> I.HALM OF BTIEFIS ETOV <br /> OR ARAM REORIENT TO OR MUMMI THE ERTY. .. LOCAl..Oi MUSE IINAM NSFOBK B RISE.M HMMSM <br /> ).ONIBR M THE NMRRGIVES)N <br /> .OIMM <br /> ENNWORTHNRMBAN[M <br /> S AM H CTN. ftN OF MME NBIOM/YR[Me. <br /> ],RIHMOONO NRIM.S AM.&SHH M NL E.M.SO FROM <br /> AM F.IOCATMWITMN N OF... MNV F OF ONE..I.FIFTY I <br /> IHASCMAES.MMMM COVERED AREAS BIICN AS TAHOE.ONVEWAYS,AMO WKRS. ON INF FTOVFR F OR AEWOM II MORMY. <br /> ... O <br /> PAYMENT <br /> JUL g S ' <br /> SJo mJnUUIM WuNn <br /> PDOl1C HFI+ITH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 3 <br /> 80k N. <br /> /� o[PAR1MwF u[BNLY co <br /> / (*/ <br /> A.wal..A.EFSWI/r--1 <br /> V <br /> m.A V.Fm�lm er oxE R..F F„FWB..BT ox. <br /> Ox. 7-Z <br /> 7'?j•4 f k i22JEc (�G -T <br /> c.-H..OMLr: AIR EAC, <br /> FF COON EFEIMe AMOMrRWiIEo eNCR, ASH RECEIVIED OF DATE FOPRrN CE ntaVFYr xVAERI o1cF <br /> LIP7q 114,5' I <br />