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Date: <br /> Michael M. Niblock, Director <br /> Community Development Department <br /> 425 N. EI Dorado Street <br /> Stockton, CA 95202 <br /> REVOCABLE PERMIT APPLICATION FOR GROUNDWATER MONITORING WELLS: <br /> I/we do hereby request that this letter serve as an application for a Revocable Permit for the <br /> following: <br /> Use and maintain Z Groundwater Monitoring Well(s) in the City's right-of-way at <br /> the address listed below and as shown on the attached drawing: <br /> HtitA�rscawt S} K)nV1i C Pq <br /> Theg, g <br /> need ha received a copy of and fully understands the Standard Conditions <br /> govits u ce of a Revocable Permit for a Groundwater Monitoring Well(s). <br /> W(A nature) <br /> B,�i ess owner/Property owner <br /> ( ease specify) <br /> JttiM I )OV OU Ve- <br /> (''PlIri''nt Name) <br /> \ Wi 87 <br /> (Company Name) 17 <br /> 2z35- LAJ&��j f s� <br /> (Address) <br /> 70- X23- ( 01t <br /> hon number) <br /> GAGDDlpdvi Slafl \_BUSINESS OPERATIONSIREFERENCEIENGINEERINGIBrochure and FormskRevocable Permit Groundwaler <br /> Monitoring Wells.doc <br /> 3 <br />