HomeMy WebLinkAboutDean St. #81 - 6/1/1993TOWN OF MANSFIELD) MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name 'DEAN
LV r
Address 2A'L DEAN J .S%
Location Mfialsp; e,/ U /71 6 LO q 9
Installer ((11 Tb eph_a�+I7a-.V�6r ��/ (� /��
Address t 17cm J / �%ll7iY. E.—eld ►I� ig• LIL04 i
TYPE OF WELL:
Domestic Potable —Industrial/Commercial Potable
_vetomestic Auxiliary _Industrial/Commercial Auxiliary
Agricultural Local Water Supply
Intended use:
Fee: Date: S ZE y;
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a nr i/ well for the purpose
of ltVat
Date: 6,
Approved by:
for the Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected.