HomeMy WebLinkAbout4180_CCv0001.pdf (Domes le Water Supplies,Form A^.,Municipal Corporation or Civil Subdivision)
STATE OF CALIFORNIA
DEPARTMENT OF HEALTH
Certified Copy of Resolution NO. 4180
(To accompany application on Form Al)
"Resolved by the—__—_ City Council
(City council,board of trustees or other governing body)
of the City of Redlands
(City,town or county,etr-)
that i)ursuant and subiect to all of the tears, conditions and pro"S^.w:ons of Di%ision 1, Chapter .r, Sa'--a:Gns
4010 to 4035 of the California Health and Safety Code and all amendments thereto, relating to domestic water
supplies, application by this--_--City — -- - be made to the State Department of Health, for a permit to
(City, town or county, etc-)
operate the City's newly constructed Airport Well located at TIS Rata
Applicant must state specifically 'what is being applied forte—whether to construct new works, to use existing works, to make alterations ar additaom in
as a potable water source to serve any and all areas within the Redlands
a-------------------- ----- ----------- ----------------- -------- ---- --- ------------------ -
works or sources and state nature of improvement in works.Enumerate definitely source or sources of supply, kind of works cued or considered (if knoum)
Municipal Water System.
and specify the locality to be served. A iditwuAl sheets may be attached-
----_----------------------------.
that the— ---Mayor sof said-_ City Council
(Title of chief executive officer) (City council board of trustees or other governing body)
be and he is hereby authorized and directed to cause the necessary data to be prepared, and investigations to be
Made, and in the name of said-----City ________-- -- ---.to sign and file such application with the
(City, town or county, etc.)
said State Department of Health.
Passed and adopted at a regular meeting of the.... ... ... y_Counci _-_.._--_--
--------------
(Governing body)
of tile.._...._---Redlands
--------- ---- - --------- ------_on the._.--17th-----— - -.day of__ Tune 19._86
(City,town or county,etc-)
_ _
'�� e
CFFICIf1.L SEAT-
Mayor of the City of Redlands -------
Hl}lE it of Red lands ATTESTT- )
Clerk of said_----C---1'----------_—____.._-�.�. _
(Cai. to-n county,ere.) — '" _ .------
_-----