HomeMy WebLinkAboutAngelina Ln. #53 - 7/17/1998TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Address '3 An9e.1irl, Lane
Location 9-.3 k jard
Installer GGOr!;e Z.Jne I11310 WE II .SGYViC@
Address Bridge wai r. ml; 504P_L9q-7P 7(a
TYPE OF WELL:
_ Domestic Potable _Industrial/Commercial Potable
Domestic Auxiliary _Industrial/Commercial Auxiliary
Agricultural _Local Water Supply
Intended use: Outdoor Wnte_rt
Fee: Date:
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a j��—Gvj l�� �� f�Gli` well for the purpose
of at S2T /�Z� C —[ �•il<?
I �j �
Date: l� ` 6�7 Approve by:
or the Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected.