HomeMy WebLinkAboutCC Reso No 1960-1010
[DomesticW..:ter Supplies. Form A2. Municipal Corporation or Civil Subdivision]
STATE OF CALIFORNIA
BOARD OF PUBLIC HEALTH
Certified Copy of Resolution~6/o
[To accompany application on Form AI]
A
"Resolved by the________m__ClT_y___COllilCI-L-______________________________________________________________________m______________________________________
(City council, hoard of trustees or other governing body)
of the ___n___ --- ------CI.!.t'.Y.---OF--Ji:l.S-Il'iOaE--------------------------_ _ ___ ____________________________.________
(City, town or COUDty, etc.)
that pursuant and subject to all of the terms, conditions and provisions of Division 5, Part 1, Chapter 7, Sections 4010 to 4035
of the California Health and Safety Code and all amendments thereto, relating to domestic water supplies, application by this
_Crry_m____be made to the State Board of Public Health, for a permit to_ __:t~mp~Q_J.~_~t~_tcly---;,l_P..~_mt_Q_:rc____'____p~~~_g_~
(City. town or
county, etc.)
ot----8ix----(6-}----aon-ths---f.-I'-om----the---d-a-te----o-f---aDpr-o-v-a-l---Ge:r-eG-f----t{)---llS-e----the---Da.:tU-l?-a-l-----
Applic:antmust st'ate specifically what is being applied for-whether to construct new wo:ks, to use existing works, to make alterations or additions in works or sources and
m.1.n.e.r.a~__Jla:te.rR____from____wJ8~11.s___n_f___:thI!L__Ci_t..)!'___Clf---Jilsinc.u.:'-e____iIl___.thai.r___luLtUr.al__s_ta.te
sute nature of improvement in works. Enumente definitely source or sources of suppl y. kind of works used or considered (if known) and specify the locality to be served.
lo.r____d_omes-x_i.G.__Jll1..:.lges___iu___ sa-id---Ci.t-y-;------LlA.a:L---t!uC:iL--A:p.p-lic.~Lti.un___is___madEL--an___the
Additional sheet. may be attached.
un-dtt-r-s"tftn-d-:i;.-ilg---~ftd---f'tg~l--e'{~n-'t---em---t-h~1---'P1tr-t----o-f----t-he----(;-i-ty--.that----tht:,---€i-'ty----w-i-l-l--
( ~ 'T'" ,
$1.. .I.1'
tha t the------Ma~y-"ll.:---.L;J,.,J---CJ.-!;.V---+~~t.~~~i.~."J"n,)~~i----------------. of said -----c(;l-1.;~\~---.;:?,t+(L~C.J.-t-y---C-Oun(.::.i-l-------m-m---________
(Tid~ of chief executive officer) (City council, board of t~ustees or other governing body)
be and is hereby authorized and directed to cause the necessary data to be prepared, and investigations to be made, and in the
name of said_h____ej.:L:;____(~,_Lni;:l-~~-i_\-l_'H.:.?~-------m-------___m___to sign and file such application with the said State Board of
(City, town or county. etc.)
Public Health."
Passed and adopted at 3:'lregula~me~ting of themm-G-i-t-"I----eimn~.l-1_1--------m--m-----m---m--mm-------mm---__m____h_mm
c/~....e/ W (Governing body)
"
of the______Ci.t~L,Q"f---]ac':li.nQ:rj;L----------m--m---_-m--n- __on thC---___1:l:thnm_m day of___JLe_h;ril~_I7______ _m____19 ___6Q_
(City, town or county, etc.)
[
AFFIX
OFFICIAL SEAL
HERE
]
.../ /I' _ r // .d;J../
----------------:~::XL__0::2.(~_cC"":::'~~~~.d"'L_____~__
Clerk of said-----------d:o:~L~~~-:2~-d-:~~-.,e.--L-------------------_____m_____________
/ / (City, town or county, etc.)
(3.2.51) FORM SE-1638
404552 3-51 4M spe
AftACltMJll''f 'ft) clan,su Q')!tfW U.IOLUT.ZQI
dothefol1o'ldl1g: 1) Ptu'nhrh or (,;ltuse to hefurniehred te, all
dwellJ.r'l;?;S (n' hornes occupted by chtlcjren tm.d~2'(' the age of ten (10)
yetu.""pottled watf':.t'l" 0:1: Ut(, ~!<Nlde c,..fArrownEHh:i or equivalent. Such
servloe to be furnishod !10t l(?'~;s than b1~'Mnthll1 snd to be $upervi.ed
and policed by saitt Cl ty lwt 1 [:H'H'11 than two un ~JEH!tks monthly to
lns".rQ c(':~mp11anee herew:l.tb; additlollal1y' tbat the City will
proceed tc prQCllre th(~ r.a<$C/~H:,Sf:ny e'qu:i~ment fop the- htl')f'idatioD
of ..id w~ters to a point
" th.e flu.(Yddcs or th& same will be
X'EHiuc*"d so as r\'cJt te. >&xc,aed t'me paT't plf'r m:Ulion O. p.p.m.) fln..orides
tb~rejn.