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C i t3 of StocktonPW-Permit (209)937-8901 P. 3 <br /> Opt. 25 04 09.: Sia <br /> Date: 'Q CA <br /> .dames B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Warks Department <br /> 425 N. El Dorado Street <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 _ Groundwater Monitoring Well(s) in fhe City's right-of-way at <br /> the address listed below and as-shown on the 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 /> Si A e- Avv -Cc <br /> (Applicant Signatur <br /> Business owner/Pr perty owner <br /> (Please specify) <br /> (Print Name) <br /> (Company Name) <br /> (Address) <br /> A f - ; <br /> (Phos num4er) <br /> .:ODMAIGRPWISENCOS,PW LFbrary;70370,1 (1016104) <br /> 3 <br />