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Date: <br /> Michael'M'. Niblock, Director <br /> Community Development Department <br /> 425 N. E1 Dorado Street <br /> Stockton, CA 95202- <br /> REVOCABLE <br /> 5202-REVOCABLE PERMIT APPLICATION FOR GROUNDWATER MONITORING WELLS: <br /> hereby re <br /> I/we do that this letter serve a <br /> y uest q s an application for a Revocable Penrit for the <br /> ffollowing: <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, he attached drawing: <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 /> (Applicant Signatur <br /> Business owner/Property owner <br /> (Please specify) <br /> IJ�7Ci VI <br /> (Print Name,) <br /> 69 <br /> f I <br /> (Company Name) <br /> l:W 1 Jin <br /> (Address) <br /> (Phone number) <br /> GACDD\Mvl Staff_\_BU_SINESS OPERATIONS\REFERENCE\ENVEERING\Brochure and Formt R&ocable Permit Grountlwater <br /> Monitoring Wells.doc <br />