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p PpI,ZCATTOX YOR. ZXCAWtCMGM_i MUaT <br /> w•Y�.1�lAg$ 'B.ILENT�1 <br /> '• Uate (. •, � -.`'OtR _ O"'rC9 USA ONUT <br /> Tb: SaA Joaquin County.. - JOS # <br /> ,- • D artme.t'_t ao7p bp��l�'�1�-,t�ic Wor es^t AM '�, '•# <br /> 'CII.cYI��1� / /�tl+'i4 4D- Is�P. DAl'9, /S O/p <br /> Kn i l Z1 �G• " .VALIDOUAD <br /> 8 - S D&1'V$9QLYBL' . <br /> " :(Ap911caaC 3Qahe)• k - . <br /> C eV TYPE <br /> (3Sailiagesa) <br /> t. (City, etate. -9.ip'Cdde1 <br /> C qiS\ K 11 � <br /> (Area Code Telephone Number). <br /> Sketch (Detailed glans may be sbbmittedY <br /> Tice undermigned hereby applies for. permissicza to,exoavate, construct and/or" - <br /> - otherwise-enoroach-Oil.6ciaxty-Highway Right-oE-9Yayoa-tbe "�.^�, '�-,:. .•. a'idC..vf. <br /> S.aawwu. '„� srrv..4 0� " .approximately . c) - ee mile _Z& SC\,- <br /> 'ot �•• C-1rn4:s•c�o�3 - Sy'pei8o3otirt9the . . <br /> following -work (anodkiption o£,work) <br /> � n <br /> •f- <br /> 01 <br /> Work will oommence an o out 84y44&S Loob for approximately <br /> daytl.'. . <br /> ”i:, .the undersigned certi:Ey."that i am the ,owner'.of-the respective mprcperty,_.of am <br /> owaer amd`.�gre'e."to oto .x6'-viork described'above in.: <br /> qualified to repYeeent..Yaie <br /> accord2nce with-'the_xv].es; ,regilations'ot.San -acao.o County and subject to <br /> inspection and approval. ' <br /> SM!l.OY�1'3118pd i0 ',(d3.Q° <br /> 910natutt of Applicant Title 00m <br /> ata'. <br /> 1N(IOa.NInabOf HYS \\� <br /> )c36(o OAM38 <br /> !0470 coo ^4e,"wuE ,¢v ,src <br /> auc.d �.t Ca„ 4saa7 <br />