Laserfiche WebLink
3-11-1996 6 37P FROM O'NEILL-INVESTIGATIV 7986050 P.] <br />12, <br />13. <br />What Is the deptb to =Tin FT. <br />Deserlbe the mum or hstarmadm: <br />V � Sl�faL <br />Are there any wafer wdb an this pwcal er ASCW PrapaetltET <br />1YP6 Ol WE(18 <br />D1*CAP1C62V'1:ATtg'd(� <br />Public Well <br />IL <br />PrNab Wdl <br />R <br />hT%FLdaa Well <br />R <br />Moottoving Wen <br />It. <br />Outer <br />tL <br />YRS I ) NO <br />14. will the tank(s) pending doeum be rept" with an abtwegjetmd or urliwpauM storage tank(s)? YES[ ) NA <br />15. Indicate the responsible part' to be Wed tor additional PIME® shR thus wgnndad beyond 3 hoar mialmom <br />penult payment per tank. U the p orty deslgusted bdow is dUkrunt shoo dw perm* oppl►asab ad• prop rly owner, <br />the party must edmowbfte this rssputtdblUty tar the btWng by d<naten m d dote below. <br />Name P\rad..,%E tC%61G Qjb S1J�1 �t f�iElIt e�RJSiEE <br />Making Address 22(e 3�0 q5r%OGPr <br />>` 1 Uf%5ftn1T mak%" 1 CEi 1 4 <br />Day Phone Number ( SI b ) r)q 8 w Z z (o <br />Y�� <br />Signature <br />Page 6 <br />1.0 39vd 3tl1N3W4Qd1AN3 1H91eiM <br />80 39vd 'rolN3dN0NV%N3 1H9IMM <br />.,Y -/i y(- <br />Dat <br />ZSTSZ£86OZI SZ:80 9661/bZ/T0 <br />Z9T97.rRFG7T R7 :PR cccT7v rTR <br />