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Mar 12 01 09: 29a �mes Wells •-967-4071 p. 2 <br /> quf Oe 00 11 .-0" valued- Cuseomev 209 46@-9234 P 1 <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Dace <br /> March 12, 2001 OFFICE USG ONLY <br /> To: San Joaquin County Joe Y /06 - RSF N .. <br /> Department of-Public Works APN 3 -2 O- OZ CRV <br /> E(p. UATE ---(, - Cl / J— <br /> ContiGroup Companies, Inc. _ VALID 3-2'L-&l To -- i-o / DRIVEWAYS: <br /> (APPlirant Name) STREET Lo <br /> Nrt.�CfFrE. <br /> AR£Af /� �&b-MUAD 5E <br /> 277 Park Avenue TYPEn//r-0P'AZ7 wcRL_ <br /> FORMS (dL0/ _ <br /> (Mailing Address) <br /> New York, NY 10172 NOTE ---- <br /> (City, State, zip Code) <br /> 212-207-5301 T <br /> -(,a code - TclePhoos <br /> Sketch (Detailedplass, male Oe. nTmi rt eql <br /> See Attached. <br /> The undersigned hereby applies for permission to excavate, construct and/or <br /> ocherw'ee encro$�h nCounty Highway Right-of-way on the 'V side of <br /> yLAtJ 'KDb 11 aPProz natclY __ 15 0 fo. 11a �Jk_�---- <br /> of F0.4VL1� C_*w'F (.,RIO ty 'PPS- E?AR-L$LLi 14321003 by performing the <br /> following WorkFdeseriptiofr or work) : <br /> .- �ST+t'1-L• 9aa C M1S"!�.DWPrT�R- MJNII'DR1�3.4- T+w= <br /> for epproximaegly <br /> Work Will commence on or about <br /> -:_._.._ . davc. <br /> I, the undersigned ccrtlty that I am the owner of the respective property, or am <br /> accordancetwichrepresent <br /> rules, regulecionsagree <br /> son dioaquenwcoouuntyand subjbed ectUton <br /> inspection and approval. <br /> _ March 12. 2001 <br /> Date <br /> Sign+cure o£.Applicaot. - Title <br /> Dan F. Decker, V.P. <br /> ..m�.z�ua�m- nnuaai <br />