HomeMy WebLinkAboutSummer St. #31 - 6/18/1997TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name
Address ( S&f f 11 M e ` 67T
Location i'/ (j'-��4167
./r/ ,r
Installer �C4e- y 7414' %Z-
Address7
TYPE OF WELL:
Domestic Potable
Domestic Auxiliary
_Agricultural 1\ \
Intended use:
Fee`_ ' .cm Date: (9"
_Industrial/Commercial Potable
Industrial/Commercial Auxiliary
Local Water Supply
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a d C. ! well for the purpose
of at Y ' Sk')ti -0��. S
Date: G - jg- `(j
Approved by:
NOTE: Electrical permit required; underground cable trench must be inspected.