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CChwENrS: (please add any additional information that might -assist in the <br /> evaluation of this (these) applications) . <br /> *CCbMERCM WELL: <br /> I. Type of Business <br /> z. Size of building(s) square feet. <br /> 3. Number of employees <br /> 4. Number of days per -week business is open <br /> 5. Does the general public have access to the facilities? If so, <br /> estimate average number to daily use the facilities <br /> 6. Pumping rate in gallons per minute <br /> 7. Is there any other .source of water used Tn conjunction with `the <br /> well(s)? yes no If yes, explain: <br /> Signed Date <br /> Water Commissioner, District ,, <br /> (use this space as needed for additional comments) <br /> i <br /> i <br />