HomeMy WebLinkAboutSouth Main St. #885 - 7/1/1997FROM :5083390550
S083390550 1997,07-01
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12:39 #S37 P.01/01
TYPE OF WELL:
MANSFIELD BOARD OF HEALTH
APPLICATION FOR PERMIT TO DRML wr.T.T.
Domestic Potable (for household use)
lk Domestic Auxiliary (for watering, pools, etc.)
Industr"Commeroial Potable (for human consumption, including food processing)
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Fee: �Aomestic S 10,00
Date:
Industrial/Commercial $ 100.00 &C Agricultural
Applicant Signature;`~' /
PERMIT TO DRILL A WELL
The above application has been ap coed and permission i granted to drill a well for the
tbilowi
a8 use at S
Domestic Potable (for household use)
—Domestic Auxiliary (for watering, pools, etc.)
UtdustriWCommercial Potable (for hutnan consumption, including food processing)
_)IndustriaVCornmercial Auxiliary (for manufacturing, eta)
Agricultural (for irrigation of land in the business of agriculture)
Date: -----1 - () /
Board
NOS• Eleelrleol permit roq#laud/ xnderground cable a amch must be tgspected