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r tea' Utl.—ly—lyy'( lb=d`J [ -PUl3Lll WLIKKS ttf<171I IENfR l'� 21 937 BW1 P.02 <br /> (Date) <br /> James B. Giottonini, Public Works Director <br /> Public Works Department <br /> City of Stockton <br /> City Hall <br /> Stockton, CA 55202 <br /> BfiyOGABLFPEMIT APPLICATION <br /> Itwe do hereby request that this letter serve as an application for a revocable permit for the <br /> following: <br /> Install and maintain groundwater monitoring well(s) in the City's right-of-way <br /> C_�,� c as.Shown on the attached drawing. <br /> The undersigned has received a copy of, and fully understands,the Standard Conditions <br /> governing the issuance of a Revocable Permit. <br /> (appiicant4iature) <br /> Name: <br /> Company <br /> Address: <br /> Phone: <br /> grMhW PP <br /> i <br /> I <br />