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Rug 22 U1 UC: obp vaRucu � .. a. .. <br /> a _ APPLICATION FOR ENCROACm4E= PERMIT <br /> PL_-Agg PRM: <br /> : <br /> Date September' 19, 2001 <br /> OFFICX USX ONLY <br /> To : San Soaquin County X7011 # REF # <br /> Department of Public Works A.PBI CR' # <br /> Western Geo-Engineers B"• DATR <br /> VALID TO _�_._� DRIVS90]1X9 <br /> (Applioarst mama) STRENT <br /> 1386 E. Beamer Street AREA _ QUAD <br /> TYPE <br /> ( ilii, Aadreaa} FORMS <br /> Woodland, -CA 95776-6003 NOTE <br /> (city, state, Zip Code} <br /> (530) 668-5300 <br /> (Area Code - Telephone Number) <br /> Sketch (Detailed plans may be auhmittsd) <br /> See Attached Figures <br /> T'aa undersigned hereby applies for permission to excavate, construct and/or <br /> otherwise encroach on County Highway Right-of-Way on the South side of <br /> Do las Road approximately <br /> of 9W corn_er Pae_i ic�ve. eet ile West <br /> Dolaglas Road ..._. y <br /> following work (description of work) : ion of m_+ Destruction 1p �o-LocaFec�hQ <br /> ewe k area South side of 9577em and res ore one <br /> feet by 5 feeto <br /> °i rk will commence on or aboutQ for a <br /> .\ ppraximately <br /> Jaya, <br /> the undersigned certify that Z am the owner of the re$pe1ti e pra4art ,, or am <br /> `w=lifieO to represent the owner at�d agnea to do the work-described above in <br /> =:�_ozdarlCC with the rule=, xagu.lestions of San Joagti.n``Caysatx and subject to <br /> i---Rpecti.an and approval. • . <br /> Si ature of Applieent - Title' <br /> a.�ta <br /> ''"s—Mras= fi/�G/oay <br />