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1 <br /> 02/25/2005 16:14 1 HORIZON PAGE 07 <br /> pec 06 04 10:338 City n? Stocktonpw-Permit (209)937-9901 p. 1 <br /> Date: ' —c <br /> James S. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <br /> 425 N. EI Dorado Street <br /> Sto(;kton, CA 95202 <br /> REVOCABLE T APPLICATION POR GROUNDWATER MONIMRING WELLS: <br /> I/we do hereby request that this letter serve as an applicafon for a revocable permit for the <br /> fallowing: <br /> Use and maintain a Groundwater Monitoring Well in the City's right-of--way at the <br /> address listed below and as show on the attached drawing: <br /> The undersigned has received a oopy of and fully understands the Standard Conditions <br /> governing the issuance of a Revocable Permit for a Groundwater Monitoring Wells}. <br /> (Appflcalft Signature) <br /> Business owner/Property owner Lt f rij-1 SrOC_ P 1 *� <br /> (Please specify) <br /> (Name) f <br /> (Company Name) . <br /> (Address). <br /> (Phone number) <br /> 3 <br />