HomeMy WebLinkAboutHall St. #83 - 8/13/1997APPLICATION FOR PERMIT TO DRILL WELL
Name
Address Y > t4
Location
Installer�,,;, j'-r.�f�>
Address ,'� l? ' 61'1,-:i J 1
TYPE OF WELL:
Domestic Potable (for household use)
Domestic 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: Domestic $ 10.00 —Industrial/Commercial $ 100.00 N/C Agricultural
Date: ,,,, Applicant Signature: / �� ---
PERMIT TO DRILL A WELL
The above application has been approved and permission is granted to drill a well for the
following use at ffAC..(_
St-
Domestic Potable (for househc'.i use) — —
VI)omestic Auxiliary (for watering, pools, etc.)
_IndustriaUCommercial Potable (for human consumption, including food processing)
_IndustriaUCommercial Auxiliary (for manufacturing, etc.)
_Agricultural (for irrigation of land in the b
f
Date: / Approved by:
NOTE: Electrical permit required, underground cable trench must be inspected