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Get Application For Operating Permit - Medina County Groundwater

Or District Use Only Application No: Date Received: Instructions: Please type or print legibly. Incomplete applications will be returned to the applicant. Please submit a separate form for each well. Application Fees Required: An application fee of $250.00 must accompany this application. Only personal or cashier's checks or money orders made out to the Medina County Groundwater Conservation District will be accepted. NO CASH PLEASE. Consistent with District Rule 8.3(e), additional funds ma.

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