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APPROX.DEPTH /U l7 f"L('"j LOCKING CHESTER BOX/STOW PIPE_�bL S <br /> PROPOSED CONSTRUCTION/DRIUJNQ METHOD: MUD My AIR ROTARY AUGER CABLE OTHER <br /> 1 HERERY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WOW WILL BE DONE IN ACCORDANCE WITH BAN JOAOUIN COUNTY ORDINANCES,STATE LAWS,AND RULES AND <br /> REGUTATIONSAF THE SAN JOAOUIN COUNTY. HOME OWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING: 'I CERTIFY THAT IN THE PERFORMANCE OF THE Wow FOR WHICH <br /> THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY PERSONS SUBJECT TO WORKMAN'S COMPENSATION LAWS OF CALIFORNIA.' CONTRACTOR'S HIRING OR SUB{ONTRACTING SIGNATURE CERTIFIER <br /> 1 THE FOLLOWING 'I CERTIFY THAT IN THE PERFORMANCE OF THE WOW FOR WHICH THIS PERMIT IS ISSUED.I SHALL EMPLOY PERSONS SUBJECT TO WORKMAN'S COMPENSATION LAWS OE <br /> CALIFORNIA.' T E APPLICANT MUST CALL II ADV N E OR ALL REQUIRED INSPECTIONS AT 12081��//4��8//B��J�]B],.�C/O,-1�M/'PLETE DRAWING AT LOWER AREA PROVIDED. /]IJ <br /> file TItI. I/✓1 /Vli I"� Y Y \' /YV ' V i <br /> v <br /> MOT PLAN IDI.w to 6pNs1 6c.ls�_'to 300 k- <br /> 1. NAMES OF STREETS OR ROADS NEAREST TO OR BOUNDING THE PROPERTY. t. LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEM OR PROPOSED <br /> 2. OUTLINE OF THE PROPERTY,GIVING DIMENSIONS AND NORTH DIRECTION. EXPANSION OF SEWAGE DISPOSAL SYSTEMS. <br /> G. DIMENSIONED OUTLINES AND LOCATION OF ALL EXISTING AND PROPOSED S. LOCATION OF WELLS WITHIN RADIUS OF ONE HUNDRED FIFTY FT. <br /> STRUCTURES,INCLUDING COVERED AREAS SUCH AS PATIOS,DRIVEWAYS,AND WALKS. ON THE PROPERTY OR ADJOINING PROPERTY. <br /> Ctn1rL� <br /> WA'�£ik�J•5�c WFt+LErlWsc S TvKt� <br /> 11 pt l{pLJSIeiE/�E� <br /> / f- <br /> F—E .. <br /> ... <br /> Ek.L� rltJ� � <br /> DEPARTMENT USE ONLY �I/I�/�) / <br /> Appll..v,m Accepted By /� ��� D.te •� Are. �• 1 O 1 <br /> Grovt Impectl.n By D.I. Pump Im.peotl.n By D.I. <br /> i <br /> De.[rucllon Iropectlon BY D.I. <br /> Commenn: I <br /> ACCOUNTING ONLY: AID# FACS <br /> PE CODES FEE INFO AMOUNT REMITTED CHECK ICASH RECEIVED BY DATE PERMIT/BERNCE REQUEST NUMBER INVOICE <br /> nD b 5 <br />