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12, Whnt Is the depth to gromtdwn(er? �// © Oct <br /> Oesctllre file source of Informnllont Jx <br /> / <br /> IJ. Are there any Fater wells on Ibis parcel or adjacent prnperlles7 <br /> vES t 1 NO)o <br /> 7YPF, OF WIKUS I)I.41'ANCF To TANKS(S) <br /> public Well It. <br /> Private Well n <br /> lrrigntinn Well II. <br /> Monitoring Well ft. <br /> Other n• <br /> Will the Inok(s) pemdIng closnre Ire replaced with am ■bovegrommd or underground storage lnnk(e)? YEs[ 1 NU( i <br /> Is. Indicnle file responsible party to he billed for addhlonnl PIIS-FIII) slnff time expended beyond 3 hour minimum <br /> permit pnymenl per Imik. If Ilse potty designated below Is different than the permit applicant, e.g. properly owner, <br /> the party most acknowledge Ihls responsibility for the billing by signnlnre and dale below. <br /> Nmne Albert Vetter <br /> Moiling Address P.O. Box 146, Gustavus, Alaska 99826 <br /> flay Phone Number ( 907 6)7-2357 <br /> 3/18/96 <br /> Dale <br /> Page 6 <br />