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Sep 19 07 02: 54p �y of StocktonPW-Permit (0 ) 937-8901 P• 3 <br /> Date: v <br /> James B. Giottonini, Public Works Director <br /> City of Stockton ( / <br /> Public Works Department V <br /> 22 E. Weber Ave. Room 301 <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: O (V\W , <br /> _ onitoring Well(s) in the City's right-of-way at <br /> Use and maintain � Groundwater M <br /> the address listed(below and as shown on the attached drawing: <br /> t ( �C CT Ir� G rrA � - <br /> Sir ,,—ktoo , C� I ,-(O( (-), 1 <br /> The undersigned has received a copy of and fully understands the <br /> rd <br /> governing the issuance of a Revocable Permit for a Groundwater Monitoring Wel(s)Conditions <br /> AO/l-1 ' <br /> (Applicant Signature) <br /> Business owner/Property owner <br /> (Please specify) <br /> SC 2-5 t0 ofCS`a, � � �� I <br /> (Print Name) <br /> (Company Name) p <br /> y <J� X 1Z5� Sc.cl ��rr(tin \ �C�\� OI'zl\ C)\ <br /> (Address) <br /> On 5 - <br /> (Phone humber) <br /> (712-907) <br /> ::ODMA\GRPWISE\COS.PW Library:70370.1 <br /> 3 <br />