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Well Permit Application

  1. Show distance from foundation, leaching area, septic tank, other wells, known sources of contamination, etc.

  2. By signing this field, I verify that all of the information that I have provided is accurate to the best of my knowledge and beliefs.

  3. No permit will be issued until payment is received in full and processed by the City of Gardner Health Department. The fee for this permit is $100 for Installation or $25 for destruction/alteration/ repair

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  5. This field is not part of the form submission.