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HomeMy WebLinkAboutWildflower Ln. #2 - 7/29/1997APPLICATION FOR PERMrr TO DRILL WELL Name ON Location SRKF. Address. TYPE OF WELL: _Domestic Potable (for household use) ,,�bomestic Auxiliary (for watering, pools, etc.) Industrial/Commercial Potable (for human consumption, including food processing) _IndustriaUCommercial Auxiliary (for manufacturing, etc.) _Agricultural (for irrigation of land in the business of agriculture) Fee: ,Domestic $ 10.00 —Industrial/Commercial $ 100.00 Date: i ?. M9 Z Applicant PERMIT TO DRILL A WELL The above application has been approved and permission is following use at C9, W I L A 1�2rrw f r� ( A,& N/C Agricultural to drill a well for the Domestic Potable (for household use) — ✓bomestic Auxiliary (for watering, pools, etc.) _IndustriaUCommercial Potable (for human consumption, including food processing) —Industrial/Commercial Auxiliary (for manufacturing, etc.) _Agricultural (for irrigation of land in the business of agriculture) Date: I -�pproved by: �b # -,(Q„ ` �,,- For the Board of Health NOTE: Electrical permit required, underground cable trench must be inspected