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APPLICATION FOR PENIT <br /> SAN JOAQUIN COMITY PUBLIC HBALTS SERVICES <br /> X19IRalIIIB11T11L BBALTB DIVISION <br /> 445 N SAN JOAQUIN, PWWR (209)488-3420 <br /> P 0 Box 3009, S'P1 CA 95201 <br /> MTT B I>I 1 YSAB <br /> (Complete in Triplicate) <br /> Aw o ues is her*W ss"." Elsa Jastuft Couatj, for a peaatt to cassumet and/or install the work herein deserihed. this <br /> splisstias is ON" is eosptisaee visit ilea Joaquin camtr Ordinswe Ib. $49 and 1862 sed the Rules and newaau w of thus <br /> Jeatuis Covew tubba Reaith serviess. <br /> .Job AddrsM i`1N 4 '_Uf' .� City 53QC gC QAJ Got 81ss/Acresse <br /> Owrwr's Nuew 1,�;rl• 'i2 ]a . .� Address 311 K AAC'HfiW2.t We firfe C- Phone 6z_n).��: •_. <br /> hAri+ i C44 45 7'3St:> <br /> Cw*actw -3k Addres�,.>'? i- CC ;k c, a-1R t icrnse No._ Ma IR . <br /> MP: NEW LL 0 WELL REPLACEMENT . DESTRUCTJON o Dut OV 9wf ee <br /> PUMP INSTALLATION a SYSTEM REPAIR 0 OTHER 0' No"Urisf;dell o <br /> OISTANCE TO NEARUT: SEPTIC TANK „ F SEWER LINES OISPOSAL FLO...d{A.. PROP. UJB <br /> FgOUNDAM! AGRtf ATURE WILL OTHER WELL r PITS/SUMPS �'L7 <br /> WTENM USE TYPE OF WELL PAOSI.EM AREA CONSTRUCTION SPECIRICATION!i <br /> n Ind,asrid O Open Bono" a Manna Dir. of v"Excavedon.-,... OIs.of WON Caetrq <br /> o f eatenia ptiva" O &"Prek Cl Tracy Type of Cssir+q_._a lgs� .._,.. — <br /> Il Pubfa n o" n Oaks 0"Nh of Gout Soil Type of <br /> 1 hriOslinn &APpMs. Depth I Easwn Swfais Sall IrMpa w <br /> Repair wads Oasts 0 Type of Pulp N.P. so"Wbtk Dona <br /> WM 060" rap O WM 0111mael L. 1Ai Motorial i RsEr �ty�$r,.1 <br /> TYR : NEW UTALMTtO14 1 I RElAfft/AOOITION I I DE TRUC I i iNo up6c syNsm iftts I i1 v*k wwor ie <br /> aviliehM.��'�.) <br /> hteleNadefi WO tans: A _.,. Cemmerad OdW <br /> NusMter d*W0 wdlu Number of bednsome..�...,.,.,, <br /> Qunaw of 90 to s dap*of S fac wow ubN <br /> SWM TANK. o TvWW# c. No. <br /> K&Tt>p11TYMtT PLT.o Metfte0 or <br /> 1e rMerasf: fs <br /> VM-,�...�.. Fot�edon PI*Mty ups <br /> LEACMG WA a No.s L avo at%a TOW Nr��(jistJim WEA1 sEftlas <br /> F LTIR M a Dl«a as to newest: Well.,,,.,_ Founds ..r►°"�"' _ Dwiio <br /> omj <br /> SES>•AAE lyTs <br /> 11 000 Number <br /> i <br /> aJtAPs ONDS oLI Dista w WeN Fsundedon_._.,,_._.. AgwtV Lira <br /> P <br /> I he,mry sor tl►"I iota p this ioON I Mop wW OW tie work wg be dope in secordinco with San,Joaquin oevnev ordinaness,saw boa!„OW <br /> Mer ntd wMJMtl m d"San.J"*Aft f ams <br /> Now sww err ftwwd agoWs iimaw seri w ft fallowmW"i w ft ow in tha pafon w m of the wok for whish this pMerfit is"Isc!d"not <br /> ep+tNrir arNrMdJaor►in roils m ea to'beoepr rtJ0iiliat+w vwMkrnfMi'r oompetwatbtt boar of COIMorrrin."Corfsra�s hiriry«waoaMraasiat eiOnawN <br /> owe"" "I eettitr that in the logo w,oI;of#WvA*far which this pem,it is issued.l eheQ+p+plaw Js•nens eubjeet to warkstert's <br /> an Iatts vt Callintb." <br /> The mutt ttwa MORION tts.Cistfpi"*&M"on ansae side. <br /> s lLdX4�'� Daft; - r'� <br /> ENT USE ofty <br /> AppMMfart AswMd*1 Ar One "Z Ana...Z aZ .,.�. <br /> Pf11 or Aram Utspaotlse IV Date Find' Is 1 ion by pass <br /> AddW"Capmenm <br /> Awlicest - btw all copies to: ,lets Josgpis Cousty Atbllo Reath services „�'�,0 .JI <br /> inriroaoretsl Reaith 0 Boit/ib8, StIt ���r► I" s I" �'V <br /> s#m ti slue Joatuis. P A Itos �. stks, CA 951101 <br /> .fro A0101011 an AMWMT A&A" EM w oAtE ruafftrao. <br /> • f!Mlb lis �."�' / 3~i D <br />