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12. Whnt Is the depth to group;: •er'- . <br /> I)escribe the source of;rW—rt;ox <br /> 13. Are there any wsttr wells on thif parsa or adjacent properties? YES ( ] NO [I <br /> TYPE OF Xls DLSTANC13 TO TAN KS <br /> Public bell tt- <br /> Pri.pte n'Ll fL <br /> Irrigat;on Wel ft. <br /> Manhor:tt@ SS'ell n- <br /> Othcr rL <br /> I4. Will the tnnk(s) pending closure be replaced with on aborcWound or undergroarrd storage tunk(s)? 1Esj NO[ ] <br /> wwanu u[c lTipDfAiWe pa C, [v Gc vu;w w[ avumunui pij S.FHD sfdlt unrc cxpmarm Degon4 J DDt7I Jlllrpu wu <br /> permit payment par tank If the perry designated below is dilrutnt lhon the perctlt applleant, e,p, pMntM ow"r, <br /> the party wust sc:knuxicdpc this responslbl111y for the Uiliin1 by siInature and date belDw. <br /> Malling Address >-1107 1&�4 f <br /> D�phone IYumbtr ( � v 1 7Z , <br /> Dato <br /> p,gc 6 <br /> 4E f1T11.1• �� �. M.�� N ."'n •..n . <br /> 7 <br /> 'A <br />