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CJ4 01 5Bp L z to Of StacktonPW-Permit ( 2091937-8901 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 APPLICATION FOR GROUNDWATER MONITORING WELLS <br /> I/we 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 /> , CA <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 /> dw <br /> tAppti a t Signature) <br /> Business owner/Propertylowner <br /> tPlease specify) <br /> L -zr exve <br /> (Name) <br /> C-<Dcca C-) ph I I 1 co �XLOc- <br /> (Company Name) <br /> (Address) Wad <br /> -&-�O X 7 Co <br /> (Phone number) <br />