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a <br /> �+lawl °3 au,Z :6 <br /> APPLICATION FOR PERPmY <br /> "'` SAN JOAQUIN LOCAL HEALTH DISTRICT - <br /> a ISM E. HAZELTON AVE.;.STOCKTON, CA ?- <br /> e 7Mplwns 12001 456-0781 <br /> " PERMFf ExF4REs i YEAR FROM (BATE`ISSUEO <br /> �h <br /> (CorNPwb in hlPGeste) <br /> t A�kgbN it hnsby Muds to the Ssn Jospin LOCO HWdt Orttkt for a pwn*to erYHuct snd/r Fad tho Rork ha1sN tlwerbd.Tlie MpioaWt�li� <br /> msde m o"OlWros veldt Ssn JO.00F C 101W Ofdkr NO,50 for srv:tps w No.190 fet,wM/prop atrtha Murand R/p1Yfa+d er Mn.kw�4 tis <br /> tsar r�District <br /> .Nw,. � �/SIe «. 2 33 s b N N�vtcet r a <br /> Cpmr ws Nsr+� T�Lierw No. <br /> TYPE 0.W IR'U JMP: NEW wEtl ❑ WELL REPLACEMENT [:i DQfiRUCT)0N ❑ <br /> "P INSTALLATION ❑ SYSTEIM REPAIR J t lwo <br /> DMTAW-X 10 NEAREST: SEPTIC T'APA SEWER LINES DISPOSAL FID. fM0►: ^ly 'd'< & <br /> .�� FOUNDAn)N AGRICULTURE WF'L OTHER WELL PITS/SIAM!. �4'. $ice <br /> a <br /> fkTfhl)fD 118E :TYPE OF WELL 100E1-9t AREA CONSTALK'TION SPEC-MCATIONS <br /> Ci�FOvarla' 17 Own S ;WW O tMrfiCs Dr.of W!40 Euawr Ola.of WW,Co"ke, <br /> Q Oanrai',Pe,.dM ❑G"Pack ❑TrsiY TFpi Of CJIFp RPaNf(esdo,R � <br /> D Pic ❑Other Dale Ospth d.Grout Satl _. .�_ Twpm OT(Lv I <br /> ❑knawm . m Oep!M ❑i w o swf"sew kw k--bY__ <br /> j ltap*L"Work Dorn G Type Of Pump _ I LP.'""; .Stas Work tbrw <br /> air <br /> WW Dewv ❑ WON Dlwr e _ SsWp k41riM lwp 60'1 <br /> f. .�..,` Dspin r Farr M*WW(Below W) <br /> y TYFE OF SVIM WORK: NEW M6TALLATION G RLPAIR/ADOPTION G DESTRUO�'QN . (Np rptlp aywwn ■putresrer <br /> Inra9etbry wo rrw:,RSMidselu_._... Car+,rmiN_ (Mier <br /> - <br /> dWaCtet / W ~able 6imh <br /> �'3ANK L-' T19a/tMf j '� __C+pKM_-J /rNo.Conirtamrte ''i ✓1" <br /> �4 <br /> T worr Pyr,a - F >� Maw a mww, <br /> DRMrbi to nssnet: Wa�:.�tU'' Fourdetbn_-1/'T-_.- pMY I:M "� <br /> LVACHIIO LINES �` '8'1No.6 Lwgtl,of Gnw .. cel wxxh/W.�_ <br /> " F'CTT:3 80 * "2--DWrlres w wxeet: W,1_�'>` Faadadon _�. Pt'aOsrtM LYr ,� <br /> Depth -:L-_£:h % Nambr <br /> .O n tame tai wri: we.I., 2` FWndr;on fhapatry I. <br /> are I Iona Dnprsd <br /> this 8"&MLOW lm sI"tIed that the.ak vA be dons F sOCO+.mrm w1h Stld`JtrJDS*MpllbM trttty <br /> b fern Atlprfsalpl arafral UieYp''?ttrtlfytlrt Fur'wfarmenes�awta�p'rior <br /> trrntrw w b"o subject tD wotkmsnY ow gm -don Yves at Cdrrib.`Ctn(iasset4 Hi�iO e� MpipMR----- i►" ` <br /> 'I orliey art Far p.fu c.m of the work for wtiNM thr prtNt Y rcvad,l slrll stMpoy pit1dMlp Milsst)a1ZbtIItRNt1 <br /> <.w. Cptnple'M drwrap m rawne olds. ,'"� <br /> I A41 <br /> '. pW Mt i OEPAMTMfJIT USS ONL 5s'+� <br /> .41 <br /> �O Monro tLL7fOf O T' v sar <br /> �a '° at �' `'"'°` IlMfdi Prnid6wicr 7�SJf E.Ncwbm Ave. `v.IAuN 9ptlS.Sfk.,..A> a�5`'�fr„5k #''' 3"Z` ;• <br /> Ahpfl/R b/d�,�'1. AEbUfT R9tFT®i,� (. Ph. d°�' 4 +'1113Y'_, mow-mo, v� <br /> A 1 <br /> 7 <br />