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r_.,�PLICATION FOR ENCROACHMENT, -'RMIT <br /> ' _ r �� <br /> d'4z. <br /> �44 II/L <br /> s � Date <br /> To the San Joaquin County <br /> Highway Department <br /> Gentlemen: <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on <br /> County Highway right of way by performing the following work: <br /> X/U <br /> 20-- <br /> TApplicant will describe here fully what he wish to do using reverse side if necessary) <br /> U&0 I�f Vk-41 ' � <br /> u n2 / e oil m <br /> G z' <br /> *�zz & . <br /> Cd Ccs Z r -Zor <br /> r <br /> � �c <br /> GGF�S- �" � � .OL1�liS , r G s •/ t9 lJf, f; , <br /> Space fo skkch SGbmit detailed plfins if available. <br /> c:o19'Ir <br /> �/ f/ <br /> 61 �2 /4 ro tc�7 loco <br /> On County Highway �Qilsek7 �� i 7lu�c 2 la 'ItOu r7 <br /> a,,d Aa L& 4 « c�D- tet%. Z0 bion <br /> (Applicant 11 st to here acrurately t 'e lgcatio of th vork he desires to do) <br /> r1� u,e ( cs ivu� of , q�zre a m i srlec ern <br /> and adrees- to do the work in aftordance with your rules and regulations and subyecf to your inspection <br /> and approval. <br /> Signature of Applicant <br /> �l 37Z <br /> Phone Number / '1 <br /> ,12 i;� cA ZLL6 i <br /> Post. Office Address <br /> Permit issued: <br /> 6 Fw-24 (8/84) <br />