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AiYLIC'MI"M FUR SAMiTAY1014 il`L-i*,1'w'1'.1T
<br /> (C.OnipitsIft fill TApficat'.)
<br /> This fri,mit r,pin- I Yew from nriti
<br /> ...........
<br /> ic Thr- 5.1m JI
<br /> -irt,it,in Lc,:ct I I i-I c,It I I Pis I,ii; n)tt ',) r -:i rt. (IMA
<br /> -,ri in
<br /> is n.n.jn in cornp! V-it' Coutv Ofelil fjo, !'A?? cind rXistin Rul-t m"I Roiivl'ji;on":
<br /> i•:5'_IS TGA(T
<br /> City
<br /> L.cor se.
<br /> , e
<br /> "OV! !.id-Ire P-11111v'rit if •r:c I.I C_,mmeiciol P luilOr
<br /> Motel 1-1 0111cr
<br /> li.-irlq unils: kige Grinder Lot Size
<br /> N-,)mI:,(.-r of bedrooms Goi
<br /> '-)iy:• Pu�lic S,1stc!rn and nome
<br /> o" soil to(I depth C..3 fe't: Sand C1, Silt L] Cloy I/- Ptcit I-
<br /> 5(jndy Loam Cloy Loom I'
<br /> Hni-cipan (-'I Adobe f J riii mwerial V}0%' typt?
<br /> size 07 lot, location or sysicim in rc!ution to wclis, ploc-id (-.,r
<br /> !.P (No rr.p;ic. Ion .,
<br /> ;, or v(!pprj(, p;t prmflitiod iF public rr\v(,r is cjvoilc,bfc nt'
<br /> SLP71C TANK (11 Size/, Liquid
<br /> CC-pocity C,Cd 3)"T r into. CC111pul Itt"wils
<br /> .,Distance M rloclles .� Well P,6 Foundaii(r. Lillia ......
<br /> ,,
<br /> N-3. of L;:)-r. Length :f each lin.) l%-S.
<br /> Total Lnn.11:i
<br /> I:i Type Filter Materia' Dopili fillcr Pv'%otcrikil 11"
<br /> Propv�iiy Lim,-
<br /> D;,.fcmcc t-;m,�crest. Wrill r. rounclul ion I L'
<br /> Ir Depili Dicirtic,lei i" Numbe. k:,,1: Filled Ye'.S f%6 No 0
<br /> He Dr.1, lock Sim x_7"/'
<br /> Didanco to rinalrist: Well Foundation -0 PrCP- Lille
<br /> jF((.-V. Sr tation Perviii 41 Date ...
<br /> (Sp....."y
<br /> criiifv that I havi p,vpvred this cpplicutloil and that tho, Niverh will 1!^ C!Oilr in otr'()IC.in:� J.-vt!"Wrt
<br /> C
<br /> al o.vn,:r or 14eri-
<br /> 3ul-i; and of tht? San Joaquin LOC
<br /> Laws, tTnrI
<br /> it, the. of -.5f, worlit for -Admch this pritmit is issued, I shall :-1 C-1-Ploy C;n-"
<br /> i rn^ subject In Workman's ct:111pensation laws of California."
<br /> ilt, oil-.cr sliiiri omird
<br /> FUR VENNA TMENT USE ONLY
<br /> t.r I., .X,t:
<br /> r-,1,r) (3),
<br />
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