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Dec 13 05 00: 52a C' t' j of StocktonPW-Permit (20Q1937-8901 p. 3 <br /> ``r %we <br /> Date: —_ l ok a1 CNP <br /> James B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <br /> 425 N. EI 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 � Groundwater Monitoring Well(s) in the City's right-of-way at <br /> the address listed below and as shown on the attached drawing: <br /> -9-U 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 /> (Applican Signature) <br /> Business owner roperty owner <br /> (Please specify) <br /> — <br /> (Print me) <br /> C�'��'�� L hv'.�`�°(`cam@�rc�c�...k �O�x�c�•�,rn�� Cs��(`t��c�.r� <br /> (Company Name) <br /> (Address) SI—\ <br /> S� 1 - c�A 1-M <br /> (Phone number) <br /> :OOMA\GRPWISE\COS.PW_Library:70370.t <br /> ", � �• (8/18105) <br /> c�\ck ��C9rv',\\� �2a <br />