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PLEASE PRINT: ICATION FOR E1N'CRO A . .rNT PEM IIT <br /> OFFICE USE ONLY <br /> Date 7-9- q rl JOB # 7 -3 REF# <br /> APN - - <br /> To: San Joaquin County Highway Department. EXP. DATE DRIVEWAYS: <br /> G TE- AREA Ale,- <br /> TYPE <br /> (Applicant Nance) <br /> q30 W. CENTER ST. <br /> NOTE <br /> (Mailing Address) <br /> MANTECA, CA. 95336 <br /> (City, State Zip Code <br /> CZ091 z390z6s y6Z(o 9��DyG�-Oyu <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted): <br /> HWY ZG <br /> c� <br /> 70 <br /> Ap <br /> a¢ M <br /> PAVED N <br /> ROA b <br /> s'/-� Qat <br /> r/)1 <br /> UTILiiY f'0LL O 1�' 30 0 EP 15' 0 IVE116U-5E A-WE ,5 <br /> CsT207�t57 �6 60 M, FLYJD ':L <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County <br /> Is.�irhwav Right-of-Wav oa the ACRO S 5 side-d L o o o /2o,41) appro?amately <br /> l 90_feet /s�3e 50 n-I of J y Z(a ,by performing <br /> following work: (description of wort 2E/FG,q C a- V C 0 u e-T u,U o e`Y2. <br /> yy', ,q7- O� 30 p&-P77-4 e �OG.9CC 6u2rce-y <br /> W i R6- 7Z) AJ, rZdDa ,P-L <br /> Work will commence on or about J-ve-Y Z/, /9 9 7 for approximately -;70 days. <br /> I the undersigned certify that I am the owner of the respective property, or am qualified to represent the owner <br /> agree to do the work described above in accordance -with the rules,regulations of San Joaquin County and sub-1 <br /> to inspection and approval. <br /> 05,PElUG�/uCL--x 7 9- 9 <br /> SIG:�ATLF OF APPLICA�'T - TTTLE DATE <br />