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AUG 05 '99 16:52 FR LFR LEVINE FRICKE 510 652 4906 TO 12094683433 P.04i05 <br /> rL A 12PLICA T ION FOR ENCROACHMENT PERNUT <br /> �.�s—`Iuiv�r: <br /> Datea�2899 FNOTE <br /> E USE ONLY <br /> REF# <br /> To: San Joaquin County Highway-Departlment. CRV4 <br /> n r- <br /> L�+<ocN C'MlfY� cNv//tOn,n(n.TOC IeRn/p�,y�� <br /> /`�`r R rrsrl DRIVEWAYS: <br /> TIA. cant Name) , <br /> Gor/-6Q a tic <ay.n.� ,Gr,RaeUAD , <br /> /9Cv POCv/Ca Sy /27r7 jw� <br /> TYPE- <br /> 0 <br /> , <br /> @Tailing Address) – <br /> (City, State Zip Code) <br /> 6s 9 - 576,2z <br /> (Area Code-Telephone Numbcr) <br /> Sketch(Detailed plans may be submitted) <br /> SEF ,Orro�N,u� �/6G�?E" <br /> The undersigned hereby applies for permission to excavate, construct and!or otherwise encroach on County <br /> F_ighway Right-of-Way on the eFNzr„L zj&of E NJgM K/E. yocT ��/�E <br /> get mile orr of apprommately <br /> f , by performing the <br /> following Nvrork: (descri tion of� <br /> p vork): �,v <br /> c <br /> Work will commence on or about /1'oscr. /� /99v for approximately / Sys, <br /> I the undersigned certify that I am the owner of the respective property, or am qualified to represent the owner an <br /> agree to do the work described above is accordance with the rules,regulations of Sin Joaquin County and subjec <br /> to inspection and approval, <br /> SIGNATURE OFAPPL CAiVI - TITLE O zs <br /> DATE <br />