HomeMy WebLinkAboutCherry St. #1 - 8/20/1993TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name <LL4jzd " —
Address I M// ,2 L
Location
Installer SQ I �I
Address
TYPE OF WELL: J
omestic Potable
omestic Auxiliary
Agricultural
Int pied use: wC{ - o Q
Felin Date
Industrial/Commercial Potable
_Industrial/Commercial Auxiliary
Local Water Supply
IY,Jn
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a _(j,/L< y�clt iC well for the purpose
of at
Date: Approved by:
f t Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected.