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08/21/2007 12:43 2094669324 SJCO PERMITS PAGE 01102 <br /> APPLIC,A.TIOU FOR MMROAMMNT PEPXZT <br /> RLWE e <br /> Date 08/21/2007 Orr= UJIM MY <br /> To: San Tcaquin County JQR # nr <br /> Department of Public] Works A <br /> r". DATE <br /> Environmental Resolutions, Inc. VALID xp pA=pArgs <br /> (Applicant. Nan*) STET * <br /> AREA QV7ln <br /> 601 N. McDowell Boulevard Type <br /> (y-ailing Addrems3 FORMS <br /> NOTE <br /> Petaluma, CA 94954 <br /> (City, State, Zip Cade) <br /> 707-766-2040 <br /> (Area Code Tefephcma mss=) <br /> Sketch (betailed plans may be submitted) <br /> See attached Plate 2 and photo for propdsed vertical boring location. <br /> P":'P N0 LAA1E CLos-L�,�E <br /> kEQui ED. TRAFAC . <br /> z <br /> CC)i,3TaDL FCt2 .SHOULDER- <br /> � C.LU S U 1Z.E (.JILL- aE, <br /> 3 <br /> W/A77ACHF-P CAL MW5 ST�I+� <br /> ',rhe undersigned hereby applies far permiaasicz to exoavaite, O=Ptxuct and/ox <br /> otherwise encroach en County'HAg7xway night-of-Way on the ..east aide of <br /> Hwy 99 Frontage Road - _ approximately 10 � � feast/mill g,Outh_ <br /> of intersection of E. Calima rna andjfw , Ixy •p0b:f0=iAff the <br /> f0-11 winjg work (dantiription of work) - <br /> Two side-key-side, 2.25-inch diameter,.vertical ox' as will Mp advanced <br /> to .approximatejZ 140 feet below surface <br /> Soil borin s will. be tem a <br /> completion and in accord tremor+� <br /> Work WiIJ. commence on or about within 28 _dayg of .recg jnL of permit for approximately <br /> days, <br /> 1, the undexieigned certify th&t I am the owner Of the rempeative property, or AT, <br /> qualified to represent, the owner and agree to do the work $e scribed above in <br /> accordance with the rules, regulation$ of san Joaquin County and x4ject to <br /> inspection and appxoval. <br /> "XxZ-;j �— <br /> sivnatura-e Applicant - Title ata <br /> MA84lR,pd\BCEa'tJIbL ccloa� <br />