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• A —_-= V1. OuwNTITv OP Ww[TE[ .. -."-._-`_- �-._-.:_._:: _____ .. <br /> 1111 as HT ON ROPge�q I {IAAIru- coraco w04 <br /> owl�Y Low riN Myo f I l u. OGSIGN PLOW IN yGP <br /> 1 I I <br /> ePL1P wAeTa PI/►q/A4 I •AILT euANTITr —__ TOTA&IN/\wG4 OUANI ' <br /> /ITa tIH TON/ OR I O. AaCA IN WHICH 901L WILL BG PIaTUR B[D Toiw�•�114 wN�w <br /> cubic Y^11041: I f 'IH ACR[rj --- l <br /> VII. LOCATION Or POINT OF DISPOSAL OR OPERATION - <br /> Pnf,1aH AND ATTACH MAP, aweTCN.OR LOCATION ON u.[,a•&.G" RANOLR MAP. 7,4 ON If -'NU <br /> sA cola 4.) <br /> LOST OISYANf.Fa OR •CARIHO AHO DI\TAMC[ IROM aCCT10N COw Haa OR quAltTaR CORNcw.aYCT10 N. TOWN►HIr.NANGa, BASE AND M[NIOIAN: <br /> VIII. aou RCa OF WATaq[u PPLY fcH{ca"AL♦wrrwor Nlw T►I --- - ---------- ---• •-_- <br /> A.E] MUNICIPAL OR UTILITY SERVICE: <br /> _ 13. X INDIVIDUAL IW411s1 <br /> -A-4 of MAT{A•Z;_V/rew .___-- <br /> _ C. n SURFACE SUPPLY: <br /> Mwr{0I 4746--.IAM{,rr4lh4.■TC. <br /> 1I <br /> Tr I{OP WwTaw SIGHT* --- -_--- -� w7111 NIpHT4►arylf Oa RICAN{r • <br /> _ ❑ l <br /> nen Appropriation l <br /> -—1X. [NVIRONMaNTAL IMPACT RaPORT fEIRI c--• J---- " = ---- -- ..- <br /> MFc an SIR bean p►apared for this project? ElYes r,71 No <br /> II"Yes".plea"anclow a copy. <br /> If"No".will an EIR be prepared? Yes No <br /> Will a negative declaration pa prepared? Vol No <br /> It"Yat".pleas@ answer the following: rHe■ILL rwirww{Tai aipw7w{oic:wa�7lo�t -- <br /> Arran OA.pa"14 0Y "pYrl{TION <br /> CERTIFICATION <br /> ! hereby Certify under penalty of perjury that the information provided in this opplication and in any ailuch- <br /> ments is true and accurate to the bent of my knowledge. <br /> •iia Tuna OI Owt/a <br /> r eIaN ATYR[O►O►CR ATOM OF FACILIT T---—- --•-' - <br /> n <br /> Pa IN}a Ow TV Sig aAMe <br /> �JS�`l y \\y rwlNno ow TT•{u Hw-� <br /> TITIG <br /> • ITS 71T►■ ._.. .... ..._. .. _ <br /> —A <br /> _- <br /> LIST Tlfl; /OF ANT AT CNMRry Ta' ' <br /> Cy <br /> You will ye Ntified of the CO►netnaH of filing fee and submittal of any addition&I information dermed nec:estary to complutr your Napun of Wmle <br /> DischAr9e purwant to Division 7, Section 1 250 of th/ Sute Water CoW,or so c <br /> Section 66796.30 And Meallb and Safety Cod/ omplete your iminto application pursuant icl Gov{t urI CVllr <br /> Section 26200. <br />