HomeMy WebLinkAboutAngelina Ln. #56 - 6/9/1997TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
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APPLICATION FOR PERMIT TO DRILL ELL
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Address j/Jlp �QrA�!J
Location
Installer � �// elf d S �� _I(KtlJCZ
Address
TYPE OF WELL:
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"�'I)omestic Potable _Industrial/Commercial Potable
Domestic Auxiliary Industrial/Commercial Auxiliary
Agricultural Local Water Supply
Intended use:
Fee: /Q,6&
The
Date:
PERMIT TO INSTALL WELL
Approved by:
ermission is granted
well for the purpose
Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected.