RES 1949 - Laserfiche WebLink

. ~[$~werage and Sewage Disposal. Form AllJ~unicipal Corporation or Civil Subdivision] STATE OF CALIFORNIA BOARD OF PUBLIC HEALTH Application from ....... T__°__w___n___~_f___~l_e-_E_s__a-n--tg_n__,__ .~. ~u43--i--e-i--~----1--.qgr~.-.r--a--t---i~-g ........................... General Law Organized under ............................................................................................................................... To the BoAlu) oF PUBLIC HEALTH OF THE STATE OF CALIFORNIA, Sacramento, California: Pursuant and.subject to all of the terms, conditions and provisions of the Public Health Act of the State of California, approved March 23, 1907, and aH amendments thereto, application is hereby made to said State Board of Public Health for a permit to .......... _c__oI18tr. lz~.t_&__Zzem__a~J~a~e__tr_~aiment___and___di~qgosa used in conjunction with existing sewer system and disposal facilities to serve the Town of Pleasanton~ California~ a preliminary description of the work to be done being contained in the certain "Preliminary Report on the Treatment of SewaE_e_ for Pleasanton~ California" prepared by Roy Edwin Ramseier~ Sanitary and Hydraulic Engineer, ..... 9n~f_i_l~9. wi. th .th_e___Cl_t_y C_3e~_k of_ t__h_e___Tg_wn____o_f_____P__l__e_a___sa_..n___t_.o__n__~a copy of which is attached to this application. SEAL HEllE Town of Pleasanton~ a Munici'pal M~yor of t~e Town of Pleasanton Attest: No?~.--Before making application for permit, such action must be authorized by resolution of the governing board, substantially in the form furnished by the State Board of Public Health (Sewerage and Sewage Disposal Form A2), and a copy of such resolution duly certified by the clerk of such board must accompany the application.