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Date: la acog <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 /> Ilwe do hereby request that this letter serve as an application for a Revocable Permit for the <br /> following: <br /> Use and maintain Monitoring Well(s) in the City's right-of-way at <br /> the address listed below and as shown on the attached drawing: <br /> Prroo�C�itiq Weik/ Coit Brri? gnCl UhdFMrounrj U )ii;W LOCCIfiocts O�jure �C <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 /> (App i ig ature) <br /> Busi ess owne /Prope o ner <br /> (Please specify) <br /> Axt Lgrtcrion kenneu <br /> ( Print Name) <br /> C111A of Sfixk lon <br /> (Company Name) <br /> 51b EI IlMdo Stmt m 317 Glock-bn , CA gszoz - M7 <br /> (Address) <br /> ( QOa1 �3q - `15J1 � <br /> (Phone number) <br /> ::ODMAIGRPWISEICOS.P Llbrary.70370.1 (701/07) <br /> 3 <br />