HomeMy WebLinkAbout4179_CCv0001.pdf (Domestic Water Supplies,Form A2,Municipal Corporation or Civil Sub-division)
STATE OF CALIFORNIA
DEPARTMENT OF HEALTH
Certified Copy of Resolution NO. 4179
(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,etc.)
that pursuant and subject to all of the terms, conditions and provis-lorts of Division 5, ,Part 1, Chaptor 7, Secdons
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,eft.)
operate the City's newly constructed Madeira Street Well located_at_MU__.E2.W..._--w__
Applicant must state specificaily what is being applied for—whether to construct now works, to use existing works, to make alterations or additions in
as a potable water source to serve any and all areas within the Redlands
----._---------_----------------_---_-----------------------------------------------
works or sources and state nature of improvement in works.Enumerate definitely source or sources of supply, kind of works wed or considered (ff knomm)
Municipal Water System.
------------------------------------—----------------------------------
and
----------------------------
and specify the locality to be served. Additional sheets may be attached.
—-—---—--------- ------------ —-------— —-------—----------—that the-----Mayor ----of said-- Cit ou il
(Title of chief executive offerer) (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 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,... --CitY---Co-unc1---.---------.------ -----------I---------------- --------
(C-verning body)
of the----------.-
Redlands- - ......----
( -------—---------- on the---------- day of June 86
----------------- --- - -- ......
City,town or county.am)
Arm JOFFICIAL SEAL Mayor of the-City of Redlands
HmiE Clerk-of said-----��LtY-O-f Redlands ATTEST,�
-------—--------------
(City, town -- ty,etr-)