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San Joaquin CountyIRrt <br /> nHcalth Department A 3V-TAJYT WMCMA <br /> Environme Ltal C,.guA.A,lqr�qs <br /> SOO East Main StTct'-*t pn**RAM POaRDWATOPM <br /> Stockton, Califo-nia 95202-3029 COA 8W7rwM.KLI ft <br /> LISA VIV35w,&.PKIMS. <br /> mugarel;2(199 468-3420 *R C.6ruesco.vtw>m.M <br /> F.,;x f,2c49)46A.0135 K 3".y FG&Vy.IRctis <br /> Wai-ver <br /> Well P.:.=. it NiIIT-.bcr-. <br /> T1$S application is 11-add Df Oic an <br /> Joaquin Comity %Vc11 StaroarL'--, <br /> -IS <br /> r--yLiestcd duzr to the fol, r <br /> D at= ' <br /> -)-,jsj-Lctjc.-,j p-riii n1j,,i IT not btt <br /> art ri!hc WC11, ck <br /> I lie foilov' .n- Con�",IL placcd o A <br /> ca,ilcd. <br /> 1 Th'- prop-:n)-o,.,o-n c-:- Sh a- ]I si gn thLs application �Md a cknow-Icdge teat -die minimum <br /> ;::Stand setback deviates from the Min.1-niun1 dislance setback olf%Veil <br /> ei) , recucst a .1,170111 <br /> 1, th,- owner of th-- PrOpe-1-t i lentified above, her I N -�v <br /> I on <br /> qancc sctlback ofSari Joaquin CO-Mt.-\ the information noted abuve- I <br /> L I <br /> ClIcLiowled-c ha: M- fonnation should be disclosed to subsequent prop-114LAT <br /> C)WrIcrS. <br /> -'ur- oi opertv O\N <br /> S;pa <br /> ?4;1�116 e�rt?pl wViAf T(,06 <br /> 'Mailing Address <br /> ........... <br />