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tf. What In the depth to Rronndwnler? <br /> unknown <br /> Dcscrlbe Ills $mice of 1140"111"t aul <br /> Are there oily biller well; on this parcel or ndfaceul properties? vgs ) ) No <br /> i <br /> 71f1'F OF Wlrl,IA 111.41•ANCR TO TANR!1(H) <br /> 1111hlle Well It. <br /> 1'r1vnle Well <br /> Irrlgarloa Well h� ' <br /> M1imilloring Well h. <br /> Other <br /> 14, Will flit Inok(s) pending closure Ire repinced will' all ahoreground or underground slorage lank($)? Y6fi( 1 NUI ) <br /> 19. Indlcale the responslble roily 10 he billed for addlllm'nl 1'11N.Elli) it time expended beyond J hour nrhdmum <br /> permit pnyme"1 per loi'k. It Ills roily desiRnnled below In ditferenl then Ills per1n11 •ppllannlr e.91 property Omer <br /> Me party must ncknowledge this re;po'lsltdllty for the blllhig by elgnnhlrs slid dole below. <br /> �0 <br /> Nome <br /> AlnlllIIR Address O T1�°IE ) C 19 <br /> Day Illinois Number (� J /'6 T- <br /> l <br /> hl lax <br /> r I j <br /> 'I <br /> Pop 6 I <br />