HomeMy WebLinkAboutJameson Ct. #11 - 7/15/1997APPLICATION FOR PFIUVW TO DRILL WELL
X Name
-A/Address // Va "-Oi /7 0-T
){ Location �,
Installer
Address
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: %- /5'9 % Applicant Signature:hC�QQ�
PERMIT TO DRILL A WELL
The above application has ¢een approved and permission is granted to drill a well for the
following use at I 1 \ P-�C�J
Domestic Potable (for househc'.: use) — —_
Domestic Auxiliary (for watering, pools, etc.)
_Industrial/Commercial Potable (for human consumption, including food processing)
_Industriai/Commercial Au,:•:Hiary (for iu=ufacturing, etc.) - --
_Agricultural (for irrigation of land in the business of agriculture)
Date: 7 ^ t 5 R / Approved
NOTE: Electrical permit required, underground cable trench must be inspected