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<br /> Application"Is,hetehy,mado,to;the'San:Joaquvi'l Deal Heeltlt biatrlctifor•'a_permit'td,conatudt eititfliar Ins<ta!]�1he worn herolN,idescri�ed:17tRli�x�ort !A 11
<br /> �rnada iii'eoriplrant'©w11Fi San^Joaquir`Counry Ordinance Nd..549 for sb�vage.o'r.ddb;193 2 for walUdismp and.the Rufessr�t5dy.Repulatlon 01 f1M.bdM1 ilfrf'
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<br /> 1sc :, i�1�tT.YPE QF,IWELL/PUMP r 71,r ANEW WELL'L7 ; " I ,w WELIYREPLACEMENT,0 ray y ':DESTRUCTiONa'❑
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<br /> " I IJ aDiST�f CE11�0'ifiIEAREST 'SEPTiC�TANIC'R �'''�I r3EWfR I1NESF.1StFI ] 4t`S _';bISADSAI H p lt� ;--
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<br /> ,R TYPEI'O SEPTIC*WORK K'NEIM1/rENSTAI TIONI'IIi?> REPAiRlADDITION.[ r-DES'rRUCTION!l l tNosepticlsW1111' rmNtili publid*~t kAul'.'yr
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<br /> I�rStlinca,to nllargat Well 3- Foundation Property Line 111��;- tl',ilr i=(
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<br /> 1I iTJ` SnGMPS '_#SNS 111,1. i'_+I,� +,131stanGe:to;nearest i :IrWeiitv;:t t -,?..r•- i'Fountdation rh.'+ , Property Lfne "�. r9,`'" ,y'?tsall,,r'
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<br /> ;itl rRl ,IDISI>OSAL PONDS D3S iIH'r lj.",• fi t A,"! i!'" Y..�fdklTs �G I, �
<br /> l,hereby;cri!ify�itai:l haveitpioparedltfiis:appllcatton,end that;sha work will! borie'in48c6ordanee wilh san'.lbayt{uin cgLAty�ordinant'ear atataEfavw,'and 'I
<br /> w'rules€a_nd"ieU"UIauU:l-otlt a Saki JoaQuin..Lacat FleielthiDratrict:l J r` i 1 rl Srl k � :r• r.. =d, '" ]„+',
<br /> j x Home owner,brtlrcer+rl+d�en0n 1s164iure-�nr mp tfRe,�follot v rig:v,l,earthy that it)the-perfasrnaneerot 7hH iwork lat:which chid peemt iti issued 'I;'>lltal�rtirst .
<br /> u�!Camploy anyapars wni n',sachlmanna_r es,to:tx#ebriraisl,b�cfta'EW6rkrnan s compeneationrlawlt of t fomla Contfactor'e filrjnq or aG ctintraetingiaipnatird N
<br /> l amities it 60 fes!Co pe WY.L pemonst subject Id'.workriian;i;eompania 'tl
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