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. APP�ATION FOR ENCROA PERMIT' <br /> PLEASE PRINT: <br /> OFFICE USE ONLY <br /> Date 3 - /0 -97 JOB 0 3 o r/ REF# <br /> APN - - <br /> To: San Joaquin County Highway Department. EXP.DATE 77DRIVEWAYS: <br /> AREA i <br /> GTE OF CALIF. TYPE 02� <br /> (Applicant Name) FOILMS s 5 wle <br /> A77 TOM SIMS r14 904 NTD <br /> 430 W. CEN TE,E ST. NOTE <br /> (Mailing Address) <br /> MANTECA , LA. 95336 <br /> (City, State Zip Code) r <br /> 209) 239 - 03-3-f <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted): <br /> S EE <br /> A TTACHED <br /> SKETCH <br /> The undersigned hereby applies for permission to excavate,construct and t or otherwise encroach on County <br /> Highway Right-of--Way on the EAST side of ONION ,e0 AD approximately. <br /> Z, 718 feet /tie NOUN of 7-RAH ERS I RDA D , ,by performing tt <br /> following wort: (description of work): pZ,9 C E L3 Y /oZ D WING, T,PENCN/NG A T A AEPTH <br /> OF 30", DNF DIRECT BURIED TELEPHONE CABLE) TH,PE— I=EET f <br /> FRAM EDGE OF FAVEMENT.- PLACE BY aaeING AT A DER774 OF 30" <br /> UNDER UN/ON RD, + TPAHFRN RD, <br /> Work will commence on or about 3 - 17- 9 7 for approximately 6 D days. <br /> I the undersipped certify that I am the oviner of the respective property, or am qualified to represent the owner a <br /> agree to do the work described above in accordance with the rules,regulations of San Joaquin County and subi, <br /> to inspection and approval <br /> 7-OA9 -SIM-5 <br /> _ - ACLES'S DES/GNEZ /a , /9 97 <br /> G'.,N-ATTJM OF APPLICAN7 - TTME DATE <br />