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i <br /> I <br /> I <br /> i <br /> Date: <br /> I - 2 � - ate <br /> .lames B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <br /> 425 N. EI Dorado Street <br /> Stockton, CA 95202 <br /> REVOCABLE PERMIT APPLICATION FOR GROUNDWATER MONITORING WELLS: <br /> Vwe do hereby request that this letter serve as an application for a revocable permit for the <br /> following: <br /> *Groundwater Mon oring Well(s) in the City's right-of-way at <br /> Use and maintain :� <br /> the address listed below and as shown on th attached drawing: <br /> The undersigned has received a copy of and fully understands n the Standard Conditions <br /> governing the issuance of a Revocable Permit for a Groundwater Monitoring Well(s). <br /> (Applicant Signature) <br /> Business owner/Property owner <br /> (Please specify) <br /> (Print Name) <br /> (Companyame) <br /> 2/00 �2o�-rc��i%U2� ��70 <br /> G7U4� �IVE� G� 9 I <br /> (Address) <br /> 9X& <br /> (Phone number) <br /> (7rzaros) <br /> ::ODMAIGRPW I SEICOS.PW_Library:70370.1 <br /> 3 <br />