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Sep 19 07 02: 54p W1 of StocktonPW-Permit (ski 937-8901 p. 3 <br /> Date: <br /> James B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department 5 <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: Q M W („ <br /> Use and maintain ��.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 /> �4-0 <br /> �rij+y ( JCA <br /> � OT <br /> c-ktort .� �G, I Il �✓r fj, r� <br /> a copy of and fully undrstands e Stand <br /> governing the issuance of The undersigned hasreceIved a Revocable Permit for a Groundwater Monitoring Well(s).rd ns <br /> (Applicant Signature) <br /> Business owner/Property owner <br /> (Please specify) <br /> Sero io 0feSc-406' 11 <br /> (Print Name) ` q� 1 i (hk c C� CaM Ck,I y <br /> ee � � Com IN C^\ <br /> (Company Name) —t <br /> ?-(t) . �6X ,ZS 1 5�� ��r�an , �G�� cod'cl\ 0\ <br /> (,Address) <br /> 1] C) -2`l 5 - <br /> (Phone number) <br /> (7121107) <br /> ::ODMA\GRPW ISE\COS.PW_Llbrary:70370.1 <br /> 3 <br />