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_ a -- -- APPLICATION FOR WELL/PUMP PES:-�T <br /> JOAQUIN COUNTY PUBLIC HEALTH A .S <br /> L ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> NOR MUMBLE PERMIT EXPIRES I YEAR 1`110E1 DATE ISSUED <br /> INOTI1G1.M Tl1PRGGRII <br /> AMWAY MN IS NI FF RY MAtK TO nx PLAN,pAd11N OmRY fOR A 1411ERT}O CON ROOT Mwxln INBtAI,TN[MAK INSCNRFO.11119 AFP PON M MAGE IN COMPLIANCE WNIt[AN <br /> JpAWIN COVMV OfKLOIMEMOTnIl,CIIAr�rlER�11116.9/ANO lIK IMANOARO[OF PLAN"1111111111 eF]IWCfe,FNNroNMEMAI IKAL19..N. <br /> .roe A.M.M.A��PTTNr OO ( [V//��GSe LknrL ulV S70G KTON/ rAnc/`a"EAlnf 410'Peet, <br /> oNArtn'G xAME PP A'EC I«(.t7Al to RC-ST IoL UC IS AROIMePI�o 'S1/A/j 2y)} [t4MrF[ZEA VIP/��' NR1NFr 5 2 /212 <br /> U M� 5 /'13311/ <br /> F.NRFRcloR W;:5,ax.J StTL/1-)» L-Xi�LCYIi SLb✓ AmxlEee Ar ur N' A �[ 1/9 1]l --( g <br /> eX pA� <br /> OMMC79Fv�1Jiy <br /> PM 11104 <br /> CIOR M11ms Q T l- LMr rNow l_ <br /> TYPE Of WELUnIMP ❑NE\V W4LL ❑IKAACEI.KM WELL g.NNoMM WFLL f AMW_6 ❑O111ER <br /> ❑M MUIM ❑M(L IROM M MPAI. ❑CRITIM 0. .I IMPAIR ❑VAIbR ExrM rvgN"Lt f J <br /> ❑N-0PP Rl Mr. PROFIT n1RM aFt_R. IRNT WATER LIM O <br /> R .Orn Mn <br /> ❑vurwM <br /> P- Nvroe ML, O nfvnrveIOM w[u r ❑ ROR eonM e <br /> ❑..Pn1UCI.., <br /> wnN fouls imup, Wa—mill"t"a w v (J A <br /> ❑IMRIR ..t ❑d4NepnOM VIA.or WELL EXCAVATION O 1/t, qA.or CONpuctonCARnro 2 F., O <br /> 0 MM1R11OInevAlf ❑"AWL rACRIIInE 1Vrr OF CARMNMPTEILOWO dA.OF WFLL CAePM 2 rM p <br /> LI MaNIO..AAAROWAL 11 . OMFTN pI.MIn PLEA[ 1ST "orwAram SC//,b y R <br /> ❑..Al..IAO 1101X!. ....I MM MRt ML.Q.1 W L I S IC JI RPROM M ANO MME Q[LcL' C- <br /> Mf <br /> �MOMIONNO /` / OVTMA .PEO:lwy- 111N CONCI1ETFnMeTMRY MRL!R:fgl, 11NF IF <br /> ANOMX.OATH !S U TT tFOR.CIKRTER TIO%MOW IRM S <br /> nIP10PFR CONR111VCrwNRREIUNO M[1WO: MIA RO}ARV AI.MIARV AIJMR�CAML OTMR <br /> 111!FAY Ofoll IIIAI I RAW FRIFIR INT IIRR A A AlpN Atq IIMT TIM WOTR WII.A.M MM IN ACCOMAME M R[AN JOAOVIN CO.d1nNANCEe,ITTATE UWe.ANO MILER ANO <br /> PMVLATbNP Or TIM MN JO...COUNTv, NOME OMMfR OR LKfMfO AOEM'e NONAIUM CIITINIfR TIIE rOLLORWIO:'1 CITIFY IIIAI M TIK rtnO1MMlC[Of TIK NOT'IOPM/IMII <br /> 11110 OFORMI IR 1P N 1 FAIL Hof fMROY nRMNR RMJECT}OWMRMAN'I COMfFN[ANON 1AWe 0I CALNOPMA.'COMMCTOR'RIPNM On.VeCOMRAC1Rw RRINAtVI,f CERfRKR <br /> 111E IOLIOWI, <br /> Of RV THAT M TIM.NORMAN,.[OF TIM MM FOR WWII 11M rtMln IF IRRVEO.1011ALL FLI LOY Mn"NR RUehCT TO WORMAN'8 GWM.ALWN UW[OF <br /> FAIAOR111A.- 11 /CA. IRV[I CML el WV11G IN AMANC[PON ALL.[Onll[�/IMOPWIMM AI I/[R011[O.Yff.COMR[l[vt��AWIM AT LOWl11 A11lArMNOE11.� � qy <br /> Kpi,M R / -T ., G }TM 1/L01�LT ('C�LUy�/ /S % �}r1��1 X1,1 '1�1t3-f vn. 19f /V p V !O <br /> / nO TMNR?wNPaYM MY.�L'M 12D0Tr ` F-Eovl`C <br /> 1. IIAMfO nr 01nE�On No PINFART, 10 pR NOIINMM 11M 1'IYJRRIY, 1. IOCAl1pN OI IwMf P{WA.E UPMML RYPIFMnn fOOMRFiI <br /> ].nlllllw Or Iln ITnnnTY.nININ OIMFNBbNR ANp MTII dl,[C1wN. fXPANGbN nr RFNAM dRMPAL OYRIEMR, <br /> ], O1MENpbNFn OUILMfR AM tOGAIwN Or AtL[XlBlde Alp ng1Oe[R [. LOCMION OF WFILe WIIIIIN MdVO Or OM IRINMIO FIFTY Il. <br /> P1E-I'J�nTMjV�]ryCR/i VdR,MICI WINO CO WMp An�EAe`MKN APL Mipe,pFVEWAYR,AM WAII(e. ON TIM ITbPERTY On AOJOININO PMRR]V. <br /> C <br /> f r,� n h1W -� �3 <br /> IMW 7 <br /> �4� u <br /> BMW-S I� <br /> U <br /> /"IT Ar <br /> DMIW-G VIEW-7 � <br /> D <br /> ni <br /> ./ t1 m,M Tw[ONLY <br /> nnrnen.�.n....o,�I P. �/.-i ,�' �?•1�.. <br /> O�,nn,l„n eP.r,len RY <br /> 1Ht. <br /> • S,4v- e- block er/( A P:, Piglvl wefls /ns)n/1!r/ A z/ <br /> ACCOIW nxO OxtY: nror rncr 1 - <br /> 11 cam rM Iwo µ WT RgAItFOAGx IIfCf1VED[V OArz 19RRrnfnVlCE RIOUFGr xaMeTn INVOICE <br /> 3.�O s1,112W I <br /> UZ-77C47 <br />