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Permission is hereby granted to the City of Lathrop and its representatives to enter in, over and upon <br /> owner's land as detailed on Page 1 of this Permit. <br /> CITY OF LATHROP PROPERTY OWNER <br /> By: Signature: <br /> Tim McCoy <br /> Public Works Director Name: \ t e Abs <br /> Date: Date:— <br /> Property Address: <br /> ate:ProppertyAddress: !Co 400 Cc�✓g <br /> an'a/ <br /> APN(s): oc I3 - - 07/ <br /> Telephone: yZoq- <br /> 1. Please list any special conditions we should observe while on your property <br /> Any work woe— <br /> Qeb'G <br /> ( MV, /rs,/�oC a.,.. River Tslon06 r,ho M?al >C�- lena'_. <br /> 2. If you have tenants or lessees on the referenced property, please complete the following so that we// <br /> can notify them prior to field activities:/ ,, p (,lhe , �a-t w'`t l ^-'15e Won V ' <br /> 6 Tenant name(s): RV I e &C Phone: �COq ' " 7) --714 / <br /> First Name Last Name �Q9 — 49`5 - 95 ::Ro <br /> Tenant mailing address: <br /> Street Address City Zip <br /> City of Lathrop, Permit to Enter Page 2 <br />