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THIS CARD MUST BE RETURNED '1'O THE VILLAGE OF SHORE:WOOD <br />WELL OWNER AND ADDRESS 1 61 <br />WELL LOCATION 7 SECTIOI <br />4t-. ; r <br />LOT BLOCK <br />WELL RECORD <br />VILLAGE OF <br />POST OFFICE BOX 307 <br />EXCELSIOR. MINN. 55331 <br />DRILLER'S SIGNATURE DATE PERMIT NUMBER <br />41 <br />.� �Zz �/lam <br />DRILLING CO NV ADDRESS TELEPHONE <br />SIZE OF WELL____ Y_____ INCHES <br />J A) <br />WELL DEPTH__— -FEET <br />CASING DEPTH__ FEET <br />%". ATER LEVEL C -- FEET <br />DRAW DOWN /� l EET AT <br />GPM <br />r�4 el <br />CAPACITY GALLONS PER/HR <br />CASED WITH <br />DEPTH OF IMPERVIOUS FORMATION_ __ FEET <br />WELDED JOINT (� <br />SCREEN & _FEET INCHES BY� 1 CH ES SCREWED JOINT O <br />MAKE AND TYPE OF MATERIAL: CEMENT GROUT O <br />REMARKS-. <br />