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<br /> 1607, Z. HAZZITO)N AVE, 13,701CK70 , Cit
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<br /> Application is hereby made to the San Jotx mn Locsi Nnolth District fora p0mitl to comutict and/ore atldil the Wok hareirn dmonb^Di.Vire sf.;sic tcxri 1
<br /> niade in Com fiance with San Joaquin Coun Ordinance No.641)for saw a or No 1802 for v,vil/prump and Cho Rvias oru5 Pr-UUL k,.n:;of ow."Wi Jr:.ac"tim
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<br /> local Maalih District,
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<br /> J+•b Address - _-- y�_ �_...•L•' �1 f•. • City r w t Lot fii:u._.�.—•^-_..__.— pm
<br /> Ovmnr'n llama A•,ddrtms
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<br /> 11'r't: OF WELL/PUMP: NEW b''1EIL I i WE:LI 6LP;.ACU%WNT I DESTRUCTION L.1
<br /> _._ PUhMP INSTALIATION I 1 :>Yf(W REPAIR L i OYHER iJ fv s
<br /> )1STAtJt r TO 1rWIEST: SEPTIC TANK 5£\Ytr !illi 5 _ Oi5!'i�SAI ht0 _____... PA�7f. CENtc !` v�
<br /> t'DUNDAfiON .. A1(;Ai 'U1.1'U91E'.•iiiLL OTHL-A ,11.1 —_—... f"1T"3ivUAil� _ i1.
<br /> INTENDED USE TYPE OF W:LL f tODMM AHEM C04S•i AUCTEON &PI CCE i(.A rtONS
<br /> industrial i 1 Open Bottom Maniacs Dra of Well Excavatton ..___._.__.____._ Cion.of WON Cam" ._ - , g<)yYr•;'•
<br /> Durnostic/Private I i Gravel Par:. I i Tracy Typo of L:wvN..........
<br /> Public Olhar i i DwHa Oilpit:r of Grut.r Sawl _ - ... ____._ _. Typo ilt Grout
<br /> bnpatton ApprCtx. UirPfh rpsturn Gurfa".a tyauf EnlltalEr31!:)y....--___
<br /> rinp.tr Wurk Dune i ype•o' Purr.a Ff,P. S)lr(Y Woth Dona . .....
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<br /> Wnll Destruct;rpl ( I Wel; Olarnwpr _ Sealing
<br /> Dulrth - ft:rar N0.64 '!ar Efiplow S0
<br /> 1 YPE Or SEP11C WORK: NEW INSTALLA'OUN + i 14CPAIR/ADUiT'ION DLylAUC7tON I I (No r.oriiic kIrAsm FWt1Nt"<I if p'rt).Ec Wivar is i 1�•;
<br /> available within 2W Mm.I
<br /> Inslnllalion will sown: Amidence If. Commar,;i;;l Olhut
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<br /> Number of i;vini!unitn' ( _. Nurntttr of bndrounia
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<br /> Character ul sort to a depth of 7 foill
<br /> SEPTIC TANK ; I Type IMfif t:;r>t:ctty_ No. CUrtiptlrittfatnto 1
<br /> I'KG. TREATMENT PLT, i ' htutitud of prlij:iotiat
<br /> Oimt::r;cir to rxititmi• Well _- r,,.n;,yflon ...... Ptrapetrty Lino
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<br /> i"A1CHlNG LINE I� No & lnn
<br /> ' Nthxtt bnas Towl tw)g J`iy ..- .. .. _.,- Ae+ie_.____y
<br /> I'ILTif1 BM O;t+tance to nearasl: Will1 �;; �'ruurxfatWPl .,(,,{-(.__ atof6ny Lille
<br /> SrEPAGC PIT.' Il Goptt+
<br /> SUMPS Dlfilance to neirrest: Wolf i'oun+!at+gn.___.___...•_ Property Line
<br /> OISPOtSAL Ptah. - ,,, - .-«"--•--'--+� `.A. '@
<br /> 1 hereby codify that t re proparm)thix application an:d:al clip work will tw.,.:nn to accordirnca with San Joaquin County of,tinanoeo, Oslo Iawn, and 5 I
<br /> mios and rogulationr:of the San Joaquin Local Nnaith 01%043.
<br /> Home owner or licanted rryonl a signatura ceriMit r tho followirtj): "I cvr:ity this%in t;xR pmtforrnanou of It,*w(NU fur which thio Itratrrtd is 4atiod, i:infill tva: t' i
<br /> pmptov any ivrson in such mattnor as to beteorrto I:ubwct ro wurkman'o cot pen4ation Itrw4f of Ca!:forr)4."Conlractor'e hlrinfp c)ttub•eoniracting aEynattme
<br /> cenitiea lite tnaowlnd:"I cor rift that In tho iterfnrmanca of tho wwk Eur iMlich(hitt permit ht itrauir+9,1 atwll anlploV PMril%U15 11 to wrorkrrtw1'4 comma+title }r
<br /> bun lavrn of C6fornts.'
<br /> The apf)ticani muNt tail!, r ml t ul us mttinn+a l,)m)late drawing nn tuvoruc)awe. i
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<br /> $'C7 T;tie: __::i v c✓ __—_—._�_� Dole:
<br /> •\ r t CIA OCPARTMENT Ur,r ONLY
<br /> Appitcaoon Acceplod py
<br /> til 11u;p0 L:1t1 is \' ��,.�: cam+✓ q_ DirtQ ! 'i% j ..� ay
<br /> t',1 yr Cirmm Lnr:Pnciion by row t-
<br /> (M-tional
<br /> Stk 46003MI i i Lodi X*)J821 i i fA•+ntorrt it.!.,°'ii(A I i lencY WJ&-ti'�9v
<br /> ArpiiCartt Il a'Ittrn all Crtrraa inf' ttV err;nrs,nnta!Sirr:u7lh Pql Rlitr:>ut'ACex Sti)i t i9,:�nitr)n Ave, ;",0. Box ZOW, 34, CAA DQ01
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