HomeMy WebLinkAboutCentral St. #23 - 8/18/1999APPLICATION FOR PERWr TO DRILL WELL
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Address 311 U W-1RA L ST
Registered
Well Driih
TYPE OF WELL:
Domestic Potable (for household use)
KDe mestic Auxiliary (for watering, pools, etc.)
—Industrial/Commercial Potable (for human consumption, including food processing)
—Industrial/Commercial Auxiliary (for manufacturing, etc.)
_Agricultural (for irrigation of land in the business of agriculture)
Fee: x Domestic fio.00.")_Industrial/Commercial $ 100.00 N/C Agricultural
Date: 'R - I S- 9 9 Applicant Signattue: 421�i
PERMIT TO DRILL A WELL
The above application has been app owed and permiss n is granted to drill a w 11 f�the
following use at 7 =-L(�j��>1� ir'l�-✓_ 7l
D mestic Potable (for household use)
2bomestic Auxiliary (for watering, pools, etc.)
_Industrial/Commercial Potable (for human consumption, including food processing)
_Industrial/Commercial Auxiliary (for manufacturing etc.)
_Agriculturai (for irrigation of land in the bus' of agriculture)
Date: �� Approved .
For t e Board of Health
NOTE. Electrical permit required, underground cable trench must be inspected
Upon installation of well, call Department of Public Works office at
261-7331 to be added to well list.