HomeMy WebLinkAboutOakland St. #149 - 3/7/200003/03/2000 11:12 5082617343 PAGE 01
1 1 i 1 1 1 itA "yell
APPLICATION FOR PERMIT TO DRILL WELL
Name
Registered
Well Drills
TYPE OF WELL:
,P omestic 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.)
�Agricul al (for irrigation of land in the business of agriculture)
Fee: Domestic S 10.00—,htdustriltKomtrtercial S 100.00 !`lam A 'cultural
Date: 3 - % —00 Applicant Signature: e
PERMIT TO DRILL A WELL
The above appiie n has bee ap ved d pem»ssion is gra�tted to �lrtll a well for the
following use at I V1 r9S. U (LC d� �� NL1 S
Domestic Potable (for household use)
mestic Auxiliary (for watering, pools, etc.)
Industnal/Commercial Potable (for human consumption, including food processing)
,industrial/Commercial Auxiliary (for manufacturing, etc.)
Agricultural (for irrigation of land in the business off agriculture)
Date., Approved by:
WM For the Board of Health
NOTE: Ekj*Wpanrdr requ&w l/ underBremd cook 0=c* aunt be mspeded
Upon installation of well, call Department of Public Works t?/Jtce at
261-7331 to be added to well 1154