HomeMy WebLinkAboutCC Res 1308 1964-06-15
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(Domutic "'.c.r h,pli... .....112. .....Idpal Corpozat1olr. 01' ChII hbdl't'bIoa]
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STATE OF CALIFORNIA
BOARD OF PUBLIC HEALTH
Certified Copy of Resolution 1l'i~J
[To accompany application on FOftD At]
"Resolved by the-. ~ CIm~
(Cit, maad.I, &oar" .f tnatnI or 0_ ...emillJ bod,)
of the
_~~e."~. ~...
(Clr,. IOWa U COUIatJ', etc.)
that pursuant and subject to all of the term., cooditiODl and provision. of Division S, Part I, Chapter 7, SectiOns 4010 to 4031
I'
of the California Health and Safety Code and all amendments thereto, relating to domestic water supplies, application by tbi.s
___ ~___._______be made to the State Board of Public Health, for 'fIJiIlMl it. ~ ......'DIed D!trmlt to
(Cltr. CIIWII or eDIIIIq, etc.)
ccmabuCfl ~ wori18 to utiJI.Ea r!l.W. D. I:1Qtor awl weD WGtOI' to 881'VO ~_
AppllCID.t ..11ft .h11t11 'plcUleaU,. ...t b belll11 ."tied <<o-hether to ODJUtnlCt ..... .orb. filii 11M .dnm. WCU'u, to IUU .ben.dau or .dditicw ba WlII'Ju or IDIU'CII wi
ClV of Seal ~Qt>
IU'" urur. of qroftlllllot III "_D. Baumen.. Wahtl, IllUI'CI Ol' IJ01U'CII of Rlppl,. kiad .f worb _ or COIIaidued. (if bo_) uacI "11I:11, tbllocalicy to'" _.....
Addldoad .......,. h, .clHW.
that the-~ j'lTnFltJ'1)lI'
(TldI of chid' IUC1Ith. .....)
_ohaicL C_ ColmoO
(Clq C01IIICU. board of tru_ or ok pJY.rabq bad,)
be and he i. hereby authori2edand directed to cau.. the neces.ary data to be prepared, and investigations to be made, and in the
name of said.....___~----------.----~-----to sign and DIe such application with the .aid State Board of
(Cltr. toYlIllf ClIlualp. .ce.)
1- Public Health,"
Pused and adopted at a regular meeting of the__~~~
(Gtmrlliq bod,)
of the____~ of ioQI D)aoJlo
cat,. tow. GI' COUIItr. etc.)
latb Iumt 0<1
on the____.___day oL________I'___
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:[-'\APPm~J
". : 0PPIcI.al. Sa.u,-: -..
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Clerk of said__ ~_~~__('n~I"~R ____..
(CltJ'.tCl_aI'CallD~,.elC.)
121.....0 PORM SE-Iess
..10...74....0
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[Draluldc "..lappUa. 'anA AI. )lalll~ Corpondoa Dr CiYil hWl1'1IJoa]
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Resolution 'Number
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. STATE OF CALIFORNIA
BOARD OF PUBLIC HEALTH
Application from.. tile CJt.y of seal "ell.. ~'I\fonda
(N.. of _lcl.pdJtr 01' civil nbdl"bIoa)
organized under iI'!ha........ CSti' ~ ~ ............... 1.'.04, Iltn...lftftd ~ a..... lAaI.........1O
(S,.ce......tItu QeCilI wrW' CI&' mil' ..DUalla.... al'f'lq c1.. III" cle. of locorparadoa) a-4-H
To the STATE BoARD OF PuBue HB.u.TH
21S 1 Berkeley 'Way
Berkeley 4, California
1 Pursuant and subject to all of the torma, conditions and provisions of Division S, Part 1. Chapter 7, SectiODl 4010 to 40) f
of the California Health and Safety Code and all amendment. thereto, relatiog to domeatic: water supplies. application is
hereby made to .aid State Board of Public Health for . permit to COIIIltnot 11ft .s. SpeoUI~ to
CGIIOtI'W:Lt llJ.GeO LI. of 10" tftIlI!I... _t"a 18.000 Lt. of IS" ........_t"9~
AppUcaac amd: 1.11I IpICUiCllIIJ .... 11 .... ."u.d fe.......lu.dt. co ClDBltnlCl IIIW worb. III ... alai.. _... tel ....ke IIt11ratlous 01' addldom 10 _b or IlnII'Cn uuI
__1_- "GOO 6ft'JB .....Ill ...tt...._ 8.0 J!:l.G. reS8l'9USr. te~. DN88Q1'8
IClte altun Df bapnmlllllD. III wub. !allm.lU dehlwJ' 101II'11I U' IDDrCII of ''IIpp1,. kiad rrf ..orb ... or COIIIIcIuM (if bowa) uuI lpeel',. ... I_b., Ie bI lined.
I'OdtactIGD d....... weUs ad ~-, WOI'IL SIIII'ce of tII:III'Dlv to lie ~
AlIlIidoaal .... .., .. .tIHMtl.
~..d .... aDd MWD COlli_olin. lie. 4" .... to lie tbo et\v oI8ea1 ......
I"A'I'~
... _,-, 6~,,~.
.... .~.n
- Dated:o=----~--.
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(SJp.t'arl ol cia" or carrspauial otid.1 ...Ida dd. IIId POIt_... &delft.,)
84
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CIIiv 0I!eal ~ ~'Iil~
(N_ .......''''"1 oJyU ..Wi......... '01')
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( plltuN 01 clUef UK\I.ci... o&cr wlch D..I dtl..9 pa.Hl&I acIdm.)
CU7 M.......".y
c:av Clerk. 101 8tb 81.
-lIiiI Slt,ll, CUll.
101 _ "eet
IllIIU kMlIIol.. Cl4U.
NOTES
Before mama .pplicltiOD lor permit, luch ICcio.D. malt be authorized by ftlolutioo of the IOftrniDc board, .ubltmtiaUy in the form
furnilhed by the State Board of Public Hedth (Domatic Yaw hppUa. Porm A2) and . copy of such resoluticm, duly cerdUd by Ibc clerk of .ach
boIarel,mull: accompmy che .pplication.
(.....u FORM SE-1I37
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