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PPL TION FOR ENCROACH : -fliKt' PE1011T 9' <br /> PLEASE P1tTN"• <br /> OFFICE USE ONLY <br /> Date JOB /! REFY <br /> APN - - CRV# <br /> 'To: San Joaquin County highway Department. E. P. DATE <br /> Vr'1LID 7 77 TO /9 7 DRIVE WAYS: <br /> �STRI✓E N�ic>6 <br /> (Applicant Name) # <br /> _ .A.REfI ��-- QUAD s u� <br /> '77--5- Lt' _S C. C`--�.� i� ca. TORMS s <br /> /L �,�/ z <br /> s <br /> (hxailing Address) rf'` MOTE T2,�tcc Cyiv�.sco C ,oG�;�, •---''" <br /> r <br /> (City, Mate <br /> zip Code) <br /> (Arca Code-Telephone Number) <br /> Sketch(Detailed phms may be submitted) <br /> �(A :.: - ISA - •. <br /> 04 <br /> A L <br /> 3� <br /> 3G '� 10 �. <br /> _R / <br /> 1 <br /> r <br /> ov„4The undersized hereby applies for permissign o excavate,construct and/or othenyise encroach on County <br /> rfu1(wayR:e -of-IN on j .. �. . t�, ",s t'- -'± � a �'-+ /s apProximafely <br /> fee !mile rr of - J b perfoimiug <br /> J4 <br /> a followin -work: (descri tion of work' r cis c� s s , ' <br /> yg , P 1• i' r I X / N i? t' �ti-t l <br /> 1 Z T° . J:✓ }��� N f .lr� ;res.T.t:-- <br /> 11w <br /> Y <br /> L.-.ir.,'L71 ,r.�:•r .`: -r" I.7/�"'S 1_ /�--:� -!)G..-1r. ,f.� J... --'�C� 'I�r S'� �4- • <br /> 17 <br /> �� �'Jork tivill conuncncc on or about 7 for approximately_�_days. <br /> ✓try��y...- y'. :-.� <br /> �} I flie�und6 si=ed certify chat T am the owner of tha respective property, or,m qualliied to represent the owner <br /> :., .:` v*' f_ '' **':.�, .ey< �.. .•'o.. ! ♦ •t•.;.. 1. .��'.yl .•if`Y 1x ` <br /> agrc� o��vork cs�cnbc abuvo in 1cc�rilancc with Iho rules;regulations of S,uz Joaggm County and sul <br /> o ms ct�on and 1 <br /> .a y,,♦ a"J•a'ik u� <br /> '�1'S.•V} :� sl. �i ''+�: —T.—l '.+ �G?� ,�.Q 'lh`,{ .1t+xj' f l �, f '�'.f4J�C'l f•' 41'b+ jA <br /> p ?q Y/ '772 � YY�.' 1� Z f•�l /rt 4 <br /> • 'fe.yF � �� t '�S'1�Y""� 6v fi^' 1'1 ��{i' ' N} ! t y r �K4 >' � .�.J ;Ci y`:±.Tyf� <br /> r:,s,a., a _� �. ,V,f. w`j jf�s,� u�at°',�"�� `ti,,t�''Sab �T''' '� ���n�✓x f. � � �kta't�.t <br /> SIMM TME OPLICt�i TTTLE f. <br /> D <br />