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A.PPLI#ITON FOR E:�'CROAC ID T PEMMIT <br /> Pr.FecF PRINT OFFICE USE-ONLY <br /> Date 21111 -17 <br /> IJOBJV `i C PER <br /> AFNA <br /> To: San Joaquin Cotmty Highway Department. EXP.DATE S/ 9_ 7 DRIVEWAYS: <br /> GTE TELEPHONE OPERATIONS TYPE 7_lell cl_l ' <br /> (Applicant Name) FORmS <br /> ATTN: BILL DETRICK CA904NTD <br /> 430 W. CENTER NOTE <br /> (fig Adm) <br /> NWMCA. CA. 95336 <br /> (chy, State Zip Coda) <br /> (209)239-0343 <br /> (.Ara Cock-Telephone Number) <br /> Sketch(Deed Plans may be submitted): y P 0 01 VE SEC "B" P-123.10 <br /> A- NEW D1IZEGT50tJf0 CADLE 2376' <br /> 2' EXISTIA/G WETGAl3LEiHP2UX. <br /> Q) <br /> I t l2' 5/O E06E_OF f,4V£MCUI'�/w <br /> � LL -------*— — --- - - - - - - —ti <br /> E/P <br /> + - - 2D, - 10' <br /> ALM0A/0 WOOD OA I V E. . + . <br /> F/P <br /> O <br /> R/W <br /> q I � N <br /> 60' <br /> Tne tmdasigned hereby applies for permission to excavate, cans=and 1 or otherwise encroach on Catmty <br /> u h%;} pay Right-of.Wav on the SOUTN side of HLM OAJ D W OOO 17A I V E 7pRo70mately <br /> 47- -€eet /Mil; u//O of UA/10 AJ 80417 ,by performing the <br /> following worLwor< - (descriptim of wo&): A PL AC E AAA EX 15 r/A16 CA B L E DAMA61=II 13y THE FLOOD. <br /> &ACE BY TREA/CH/A/6 4T-,4 OE.PTH OF 30 /4 G&IfLE 7 ThATIA/G l70 FEET S/O THE61L <br /> OF ALMA/O81001) DA. �THF_M&E AIDA-T-13 9A1 VAI/DA/ T_/ff ticE W6 5 T 9& AL110PO Wv0O FOA <br /> A 015TRA/6,1:-: OF 1_376 FEET <br /> Work will commence on or about 21ZY197 for approximately days. <br /> I the undersigned certify that I ani the owner of the respective property, or atn qualified to represent the owner aL= <br /> agree to do the work described above in accomance with the rules,reguiations of San.ioaqum County and 3ubiec•. <br /> LO inspection and appro-mL <br /> [TILL DCTRI Cl( <br /> I <br /> 0 5 P EN471 NEF_R Z//y/ f7 <br /> STS:a=-. E Ut APPT TC`A-.N <br />