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5j , <br /> APPLIC I ION FOR ENCROACHMED PERNIIT .� <br /> Y <br /> 1�T,OAST PRINT: <br /> 1998 OFFICE USE ONLY <br /> Date JUNE I X1111 JOB 11 <br /> ;//0 0,S7 REF# <br /> a APN - CRV# <br /> To: San Joaquin County Highway Department. EXP.DATE q-/ <br /> of . <br /> G eoPhYs,Hca L VALID Fl��' TO DRIVENVAYS: <br /> h i Eagle exple�r-a a inc. STREET <br /> (Applicant Name) AREA ZLQ UAD XT <br /> :k 939 West Charter Way TYPE <br /> F�k FORINTS ms`s/coal <br /> ('Mailing Address) NOTE <br /> Stockton, California 9520.6 <br /> (City, State Zip Code) <br /> 209-463-0790 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> iy <br /> See attached map <br /> yu; r <br /> y.. <br /> yy <br /> A4� <br /> r., <br /> J ' <br /> The undersigned hereby applies for permission to excavate,construct and!or otherwise encroach on County <br /> 1 ighway Right-of-Way on the side of approximately <br /> }: feet !mile of ,by performing the <br /> following work: (description ofwork):Seismic testing for gas oil exploration <br /> elri l ling-shot hales 29 feet deepandhaek filling-awfth course ]sax <br /> bamo t Benbonite <br /> 1' <br /> Work will commence on or about A„ „G t ir, 1 A c R for approximately 2 4 o days. <br /> y:c I the undersigned certify that I am the owner of the respective property,or am qualified to represent the owner and <br /> ANa':w A agree to do the work described above in accoril.►nce with the rules,regulations of San Joaquin County and subject <br /> to inspection and approval. <br /> -`' OF AP LIC SIT - TITLE DXTE <br />