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� r <br /> Date: <br /> James B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <br /> 22 E. Weber Ave. Room 301 <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 2 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 /> 3212. S00b 0 POrc;da CI eelf sfivci'/-011 'IG2W <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 /> Micant Signature) <br /> ness owner/Property owner <br /> (Please specify) <br /> Se f f red Bc'fin-ertf <br /> (Print Name) <br /> iNil►eX �roo� �11vuvnnle�+r�i, l�tc. <br /> (Company Name) <br /> Z17 q Main sfi_ sUIWet2oo tt Untttt(�tvrt CVt C12-0�0 <br /> (Address) <br /> -114 - 501-S4-,1� <br /> (Phone number) <br /> ::ODMA\GRPWISE\COS.PW_Library:70370.1 (7/21/07) <br />