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F ALJC �12 04 01 : 59P C of Stocktonl`W-Permit (2g j937--8901 p..3 <br /> Date: <br /> James B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <br /> 425 N. El Dorado Street <br /> Stockton, CA 95202 <br /> REVOCABLE PERMIT APPUICATIOLV FOR GROt1I�DWATER MONITORING WELLS: <br /> lfwe do hereby request that this letter serve as an application for a revocable permit for the <br /> following: <br /> Use and maintain a Groundwater Monitoring Well in the City's right-of-way at the <br /> address listed below and as show on the attached drawing: <br /> --V ' CA <br /> The undersigned has received a copy of and fully understands the Standard Conditions <br /> cable Permit for a Groundwater Monitoring Well(s). <br /> governing the issuance of a Revo <br /> ;App,i a t Signature) <br /> Business ownerfPropertylowner <br /> (Please specify) <br /> (Dame) <br /> �i�A1C -p—L_,I i -a l'Yt <br /> (Company Name) <br /> (Address) <br /> 1 � 7Co �_ <br /> (Phone number) <br />