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oobzl? <br /> APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 308,904 EAST WEBER AVENUE,STOCKTON.CA SISMI-388 <br /> (2091468-3420 <br /> 004-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> ICRYRIRb 1.T,Ipk t.1 <br /> AMUCATION 10 N[H pY MADE TO THE RAN PAOUM LOIMEY IDR A RTMI TO CONBTRUI AMAOR METAM THE FAJW DUK.14.TIME MFtEATAH IB MADE M CFAUN NLE'NON BAN <br /> AMENER GOUMV OO FFF TOM CHAPTER 9-111R.3ANO THE STANDARD@ OF SAN.MAOIIIN COUNTY PUBLIC N TN M"CEE,EHNbNMEMAI'MTN DVIMON. <br /> l0E ACOIFYNII AMS CT'�✓ �`. SSS; 7PARCEL YEHAWI <br /> oM@wIL„wnF_ pG��^A,, ger.L/JrZr Am1Ese O, a. <br /> pDWILxrDR�o"'' "//L (4.i,_�y .�-.ir✓rry RAMMEC/ 7r�EluxMORE. <br /> MIR ADDIE@ ( <br /> D <br /> PIONE@ <br /> TVROFWEWuyIe, ❑xm`A'EL ❑NPIACEMFM mu 0MONITORED RR.i ❑OTHER <br /> �"] FHMA4.lkl IN ❑WELL/ySYSTEM RpNII 0CPO@6CONMUTww CVMOR FATMC1pNWELLET_ J <br /> J IL 9)/N-0gsrb xJ. It- WFTN FUNP vv/,nLLFT. FTSEWATEPLEVFL SY <br /> AYFEOFFJIMPI <br /> 5]ovrmrEERWce nTu ❑D@aMrBICAL M.• ❑ RDE oogll0 <br /> ❑IMRTMCIpx <br /> IMIBIDEOtmwwm CONST TOM RFECNiCATIM. T <br /> ❑IMOUMTEm. ❑OREN WTTOM DIA,OF WELL EXCAVATION DiA.OF CONOUCl011CA@RN D <br /> ❑O .IFTE, MVAR 13 DRUM PACNI@RE_ TYFE OF CAMWMTEEI OY1.0@WlIL G'!Wl <br /> C g1WCNUNIMK COFEVEM WPIH OF w.uT@Eu EF(CIFE:RTxFN <br /> C I.,oA=wm Cl OTHER ..uF Mm-MMH tm EY-- ~FRIEND XAMF <br /> 0 MOMrOREw SMUTBFI4MMMO:0 . Cb 13. <br /> AFAIDX.party tOE ME LHEera MDXRrp`.E FEE_ <br /> F MMW COXRMINC1bMMMYNO MRTH E,MUD MMT, AM rOTAEO AWER CA —hF OTHER <br /> 1NEgaYCERNFYTHAT1XAWMPNEO1MRMRICATMINAMTHATTM"M' SIM WAN RAM AAgIM CWNTVOMMMCFO.ITATR 4N'R AN911UIRAM <br /> .O .N@OFi WAAOUINCOUNTY.MMFOWNERMLMENMDAOEW'BBMNATURCERIHERTHEMIIO'MW."10EgTKIWATk1NEVETiOMLNECt MTHE=. FM <br /> TNA FWAO IB IREUFO.1 MINL MT IMM1OY PFRMNF MIYIFC}TO WMINAAN'R COMRdRATOM 4WB OFC WPoIMA'CONIMCIOR'R HMSO OPMISLOWINCTMO =.X.AZ <br /> THE IMUOW'INO: I I CEREIFV THAT IN THE FEIROMFAHCE OF THE WORD WMNN <br /> WR WHICH THIS PERMIT IR HUR EO,1 MALL EIAMOY ROXR RUECI TO www"..CpMY1LLTON lA <br /> CNIMMM." TEN A AW MURt¢µ/E MWM AOVANCR FOR ALL MMMIm MRRTANI AT Il0@1 AREE,M". COMPLETE MAA a AT WARR AREA PROVIDED. <br /> r ), <br /> BUY+[R T.J�P. TW h "(F� TY,. 5--2 <br /> R-0T RAN 10,-1.k.I RW.� <br /> 1.NN.1E@ OP STRETS OP MAO@ NFAPEBT TOOP EOU11AN0 TXE RORPTY. 4.LOCATIONOF HOUSE kWAOE DFROM ETVDA aq—FOMO <br /> f.GOURDE OF THE MNUFTr,011.MMEN MN.MO MRM DMECTbN, FkPANMDH OF REWAIX ONFRHM RYBTEM., <br /> J.pIMFNRH)WO OUrIMR NIO l...10.OF Al.,"IMMO MIO R/JMREO I. 1OCATR N OF N 1.A,THEN RHOU.OF ONE Mt110R0 FET'FT. <br /> BrflU URS.MCLUOINOCOVER0 A"MACH All PATIOS.dPhWAM,MM IN" ON THE RpRRTY 0A AW01NMO RIIHEM <br /> y <br /> � z <br /> .L�T MAY <br /> NVT'In :iIn JVNVV114 vOU.V 1Y <br /> (� <br /> IMPARTMENT WE OWE <br /> Aeow.,i..Aewl.a Er ` �.lf�lYLAM� —we /�••�.{-�— <br /> p..N Inr.C:1^^er— D.I. FR.DF m.P�neD er ow <br /> p.T. <br /> ACC0ox11NDOXv: Nor IALF <br /> FECODR I.W. AMOUNT RAAETTID CXEC M1'MN RFLMVEO RY DATE 1NIMRDI IMVICE <br />