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Permission is hereby granted to the City of Lathrop and its representatives to enter in, over and upon <br /> owner's land as detailed on Page 1 of this.Permit. <br /> CITY OF LATHROP PROPERTY OWNER <br /> By: ���' Sign ure: <br /> Michael King,PE J <br /> Assistant City Manager Name: ~ S <br /> Date: 1 i - I to • 7-eoZ"3 Date: <br /> Property Address: 17655 S Manthey Rd,Lathrop <br /> APN(s): 191-190-69 <br /> Telephone: <br /> 1. Please list any special conditions we should observe while on your property. <br /> 2. If you have tenants or Iessees on the referenced property,please complete the following so that we <br /> can notify thew prior to field activities: f <br /> v /4— <br /> Tenant name(s): <br /> Phone: <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Lip <br /> City of Lathrop,Permit to.Enter Page 2 <br />