HomeMy WebLinkAboutDanielle Lane #18 - 4/10/1989TOWN OF MANSFIELD) MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name
Address
Location'.,1.U4
Installer i�
i
Address r)tr C\
TYPE OF WELL:
_ Domestic Potable
1%Domestic Auxiliary
Agricultural
Intended use: 2-le-i c 6 �
Fee:]b0 LL Date:
_Industrial/Commercial Potable
Industrial/Commercial Auxiliary
Local Water Supply
PERMIT TO INSTALL WELL
The above application
has been approved
and permission is
granted
to install a
X__
well for the
purpose
of rz./z-
at
Date: Ib
Approved by:
NOTE: Electrical permit required; underground cable trench must be inspected.