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Sep 19 07 02: 54p Cof StocktonPW-Permit (2037-8901 p. 3 <br /> Date: <br /> James B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <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: D rAW ,. Gl <br /> Use and maintain OOe- 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 /> 1 ( CC,54 Hard ; no UJo, � Ailey <br /> ST-o c— +o r) j �r l ,-COrn, !, <br /> The undersigned has received a copy of and fully understands the Standard Conditions <br /> governing the issuance of a Revocable Permit for a Groundwater Monitoring Well(s). <br /> A <br /> (Applicant Signature) <br /> Business owner/Property owner <br /> (Please specify) <br /> Ser5 in )Ofd sc-el, <br /> (Print Name) <br /> / 44krJ� C- R;Ck' jrCorv\P <br /> � dl unv ) o. � d� co��ory <br /> (Company Name) <br /> (? a & o, <br /> (Address) <br /> (Phone number) <br /> ::ODMA\GRPWISEICOS.PW_Library:70370.1 (7121107) <br /> 3 <br />