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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: Signature: <br /> Michael King, PE <br /> Assistant City Manager Nam <br /> Date: I l t b• z o z 3 Date. <br /> Property Address: De Lima Rd,Lathrop:De <br /> Lima,Rd, Lathrop <br /> APN(s): 192-020-63. 192-020-64 <br /> Telephone: <br /> 1. Please list any special conditions we should observe while on your property. <br /> 2. If you have tenants or lessees on the referenced property,please complete the following so that we <br /> can notify them prior to field activities: <br /> Tenant name(s): Phone: <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Zip <br /> City of Lathrop,Permit to Enter Page 2 <br />