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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 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 /> 8,2/ Gy/,-sON GRAY <br /> The undersigned has received a copy of and fully understands the Standard Conditions <br /> gov ruing th ssua of a Revocable Permit for a Groundwater Monitoring Well(s). <br /> ( pplic t Signature <br /> Busines caner/Property own - - <br /> (Please specify) <br /> A�aK AIS <br /> (Print Name) <br /> (ze-ly elt�O�Oyrm <br /> (Company Name) <br /> � �7 S GA <br /> (Address) <br /> (Phone number) <br /> ::ODMA\GRPWISE\COS.PW_Library:70370.1 (7/21107) <br /> 3 <br />