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Get Application For Permit To Operate Within The Wellhead - Pinellas County

Type or print legibly in ink. Complete all items, noting "not applicable" as appropriate. Include all information, drawings and reports necessary to evaluate the facility. Information required to support the application is listed on the attached pages of this form . Submit two (2) copies of the complete application and supplemental information to the above address. NOTE: Enclose a check or money order in the amount of twenty-five dollars ($25.00) made payable to the Pinellas County Board of Coun.

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