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1995-06-05 Well Sealing Record
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3403 Eastlake Street - 05-117-23-14-0060
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1995-06-05 Well Sealing Record
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Entry Properties
Last modified
10/15/2025 10:21:15 AM
Creation date
10/15/2025 10:13:58 AM
Metadata
Fields
Template:
x Address Old
House Number
3403
Street Name
Eastlake
Street Type
Street
Address
3403 Eastlake Street
PIN
0511723140060
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t�ll atO�CA� L/MINNESOTA DEPARTMENT OF HEALTH s "NoWM Aftd 9atlq <br />H rumas <br />ftm WELL AND BORING SEALING RECORD m wawa Ll^'aw No <br />iie!'nwej iin AArwte & Snhnsa. Clnpw 103 Or W-Wws Intl <br />IL—bWw.� 41-1 <br />Irwmw q Nana T~Wvp No I Rarga Na Sm-*m W Flachar 1w • to 1 041110 sealed Approne ae Date WN <br />C roric o, Sornq Co structed <br />NLweICN Street Aadnas or Foe Nwtew artd CAW oI WON of Sornq Localwn / <br />34C-I FoSt I.Ike Strcet ir..nq Lake, bqi.`._ 8510-seetrg A OngirlalDepth _0 <br />SArr and location at wall o poeg sks" map of area or eontS Stele Waver il." A=waw <br />w =Won Well math x locaeon slow tq piaW V bws <br />❑ Ioe4 Olttlrgs N AFPaanwfe <br />- - - - - - $ se1ie A*... ❑ 1Asaeaefer 11 � e.ae amm w <br />--- -s- ! CASH TYPE <br />W <br />❑ PIasLK ❑ Tde O Oewr <br />- - <br />_1 r S I r een i <br />ScrIrani -i*�- ro � n Open Hole from to It <br />�- "" --�►I 008TOLPCTKMW§nNAXL <br />f)Oslructon ❑ DeArrs ❑ Fill <br />FSlOFR1TY OM�11'S MAYS (at'. f: i �i � iPf]O ] � A <br />No" Address 4 dOlwwl than peoperiv address necaled above Type of dsOrrvowiucton r�R <br />0hslruclmw0wbrm*dl rarwved7 KYes ❑ Na <br />PLOD <br />O Pamoved WW Pmes«e ❑ Otlrr <br />CASH <br />S10LOOICAL NAVIN" COLOR ' ON,, /110M To <br />M Po know" warcala eeenlued formalon log from nearby wall a oerog DLanteler Depth Set n ovenl:e hole? Arrwtar sD Ke evWY 9r ° <br />op <br />from d to go n ❑ Yes X. O Yet ❑ No O LWuw.m <br />•r Iron to M ❑ Yes ❑ No ❑ YM O No ❑ U anoan <br />n from to M ❑ Yes U No ❑ Yes ❑ No ❑ tUMrwwl <br />SIUM00 USED TO MAL ANNIL LMI SPACE 1[TwEEM 2 CAfMgf, ON CASSIO AND 1011E HOLE: <br />Amlla, Space Eusts <br />❑ An uim spece yrofled w4h tremor pom <br />❑ Ca" Peda m wRemmal <br />n Iran to e ❑ pwwawd ❑ Removed <br />n tram to h O Polosswd ❑ Pemagd <br />Type of pedaafor <br />-- ❑ ta,a <br />0110UTMG WATE111AL <br />10 <br />lirouteg mNergl A�/'1/ from 10 9 11 yard{ , Dogs <br />ban to _ yards pep <br />IIIIIIAMS, S01MCE OF OATH. ODFICIILTIES M SEALINfi <br />from to h yards bap <br />from to fl yardt 0e¢ <br />UNSEALED WELLS AND NOtINMDS <br />Dawn Laweawd wM or Oo" on prapedy? ❑ Yes X. <br />LAxIMED ON REGISTENED CONTMACT011 all"WWATION <br />JU N 28 ] 315 Tta wall at lwr - weA sealed n accordanoe w., Mmrnsols Runts Chapter 4725 The nfomrabon corned o Vm repot w <br />troll to ar aesl of my tuwwtadpa <br />Cor*ada lwaaness Nww levers. a Rsg-haha: No <br />�u�lln�c�Ard Aavr - ... <br />.: i. <br />.s.a sry,rn,rr Oae <br />I DCAt. G Y H wma of Person walls or Bang -- ` <br />
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