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1. <br /> Siff JOAQUIN COWT= FMWC MALTZ SSNYIEM <br /> JZVI 'lYL NEAT DIVISHN <br /> 445 if SAN JOAQUIN. POW (209)468-5430 <br /> P O Bm "ft. BT CXTON, CA 95801 <br /> OMIT 1L Y31AR a= DATZ <br /> (Complete In Triplicate) <br /> Agllmum is bmrft sado.to Sen Joaquin county tor, a paosdt to construct mWig, bmaten The vm%ba Oda described. This <br /> epplimum 3A mos to oaglta bm vith Sea Joaaela Camtt 04U*mw No. P9 and 100 a" an Sulam aoA <br /> Jeampd�Ostut�r Ssatt#fiMrs3ros..., soVlatlomes as can <br /> job Addnmsr o , ••� �/�„LS.P/P�AT; ciy�- Lot Siae/Aerease <br /> Oamri Nom Addrs� <br /> OA Jam' <br /> C.Aft am Address AlLiprras ► �� <br /> Not W VMEO F. NNW WELL 0 WELL RE NT L) DESTRUCTION ri Oat a service Vail <br /> PUMP WSTAi -ATtow SYSTEM REPAIRr,fe— OTHER Q 110"torLm Won 0 <br /> DISTANCE TO NEAREST: SEFM TANK SEWER LINES DISPOSAL FLO. PROP.UNE <br /> I'MR41 ATION AARICULTUM WELL. WMM V.T" MMSULVS <br /> WENDED use TYPE Cr WELL PRMLEM AMA CONSTRUCTION SPECOXATO" <br /> El Indmmairiel - —0 Open sanorn . 0 Manteca Dia.of 4ym fmu:nmstl0h w--- D1s.of WIN Comim <br /> n Dotre"WPI ❑Gpewl Pedro 0 Tracy Type of Coming Sppwicstiats <br /> r'1 Pu6pC [_t Other n Dents Depth of Gran Seal Typo of <br /> GMUL- <br /> -Appmm.qjrh Irl Eastern 8W Hruierf by ��/ <br /> Repair Work Done 0 Type of Pur" M.P. / sltr 1 <br /> - Stam INenk 1 __ <br /> vVe1 Demnrmon 0 Wal Dbrmar 1 as Netarial i lhy6h <br /> 04114hrliise ffatarial a nuyar <br /> TYPE 00 SIM VXM: NEW IMSTALLAflON l I REPAIRIADDITION r l msTpWCrKM i Ii �gwpsmt a Pansae in <br /> av9Mllls wiWa i7ED teent.i <br /> hetalatlan vyll mows: Rwldsece_ C mmeraal____ Ogee <br /> Nm~d lbig WAI Nurria of bedroormn <br /> ChMAChK of OR se•dgft of 7 feel: WOW sorb dopft ` <br /> SEPTIC TANK. o TWO/Mfg �,p,ply eo• <br /> PKG.TREATMENT PLT.Cf Mwhod d tillPNW <br /> Dbmm to amost. Wo1 Foratrblbn Pmprty tins <br /> LEACHING Lm CI Me.S Lorath of Nes_ Tote bmta0tlsiea <br /> FILTER SED a Ob arae to resdst: Wry Four dseon h•P•rty <br /> StEPAGE FM f I Dapok Siva _. Nerlahsr <br /> SLRMPS Ll Dhomospe jo rstareae W61 FdWrAk W rt00orti <br /> DISPOSAL PONN la <br /> 1 Y amtMy VWI Irons ptapsrsd this sppliceMen and that the work wet be dome it seoeealree silh Son J4110mift oo*nW wdirmmmrs,mw Was.ane <br /> ndw and r-8 1 W, of Me San.lasgr% Oo_ty <br /> Mersa owner a Sanaad aster m.iWaftmrs asrtifia tfe fouawing:-I cot*dw in chs WWWW"of Nle voo m far mrAliCh Mlle park b doued.I olml not <br /> ampby any Aspen to smh"WNW r to haeprrre WhOm ro womkman'a eolaptleallant ism of Cdfaerrb."Cerws Wa f1i"or enq.oawmcd nsilp <br /> tins Ism d Carer Y is MM psrf/rlleaa ei Mm work lar aAM1h ehia pornit is iuNd.f Nr1/nnploy poromas ermb Mr warsnmsn o converw- <br /> The sppk=SWNK aa1 for CompiMo drawitla as averse elks. <br /> sxfeAerL Two: Co.Rr7 DEW. <br /> Olf SteRRTI1NNT Use ONLY <br /> ApplaMerl Aaaapled by _..*. ,�. , mer —Awe <br /> 1Mt a Grout Intpeellsn M Date Pial Inspsetfon by <br /> Addhioml Commenw- <br /> 1pplim:aat - RetAra all oaylos to: am Joaquin County Public Health 9ervioee <br /> stvirnmmatal Haalt:h Peadideervir:en <br /> 4" a ase ins"". P O Har 9009. sums. CA 96901 <br /> Ut f0 AMOt91T OWAMOUNT 11Eet11'TED RiCEI'll�my oym <br /> �a •ft'NO. <br /> !1}an lalM,l/aal y if /f <br /> !A!t 1 1J�7/ <br />