HomeMy WebLinkAbout1957-01-10 Min Ord - Board (2)(Domestic Watcr Supplies. Form A2. Municipal Cor� ,n or Civil Subdivision]
STATE OF CALIFORNIA
BOARD OF PUBLIC HEALTH
Certified Copy of Resolution
�70 ��
[To accompany application on Form A 1 ]
Board of Directors
"Resolved by the ----------------------------------------------------------------- ------------------------------------------------------------------------------------------
(City council, board of trustees or other governing body)
� ��.,
of the Truck - ee--- --- Public Utility -- Di strict ---------
(City, town or county, -- -- -- --- --- --- ------
etc. )
4
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
r use the existing water works
D_i.St...:L.0bt made to the State Board of Public Health, for a permit to --------------------------------------------------- = ---------------------------------
(City, town or
county, etc.)
no
'"eadow Lake and
--------- the Gatewa Areas
sporvinrr Truckee, ..
----- ----- -----------
Applicant must state specifically what is being applied for —whether to construct now works, to use existing works, to soaks @Iterations or additions in works or sources and
--------------------------------------------------------- *-----a_ --------- - -- - ----------------------------------------------------------------------
state nature of improvement in works. Enumerate definitely source or sources of supply, kind of works mood or considered (if knows) and specify tim locality to be served.
- — — — — — — — — — — — — — — — - - — — - — - - — - - — — - — - — - - - - - W - - — — - - — — - - — - — — - - - — - - - - - — - — — — — - - — - - — — — - — - — — - - — — — doom
Additional sheets may be attached.
General lk#-mager Board ofDirctorthat the---------------------------------- _of said --------------------------------------
(Title of chief executive officer) (City council, board of trustees or other SoverninS body)
be and is hereby authorized and directed to cause the necessary data to be prepared, and investigations to be made, and in the 40
istrictname of saidsign and file such application with the said State Board of
(City, town or county. etc.)
Public Health."
Board of Directors
Passed and adopted at a regular meeting of
(Governing body)
Truckee Public Utility Diet loth Janus 57
ofthe ------------------- day of"._--- --------------------------
(City, town or county, etc.)
AFFIX — ---------
OFFICIAL SEAL
N. HERE K 13 PUBLIC UTLCDISTRICT
Clerkof --------- ---------------------------
(City, town or county, etc.)
177 V (3-2-51) FORM 6E-1638
40682 3-1t 4M &PC