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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Apr. 20 2006 04:06F'M H 4 <br /> APPLItAxEON FOR ENCROAC ' PST <br /> • �,Y rvsL PRI ' ���O ' <br /> r <br /> r,� . � 08'jTCX USE ONLY <br /> Date <br /> JOS # RZF # <br /> TO: Sail Joaquin County C2 <br /> Department of Public Works A'2N <br /> EXP, DATE r <br /> CP�1..•1 OF.NlPt A�C`�;P,_ 3U\\16 VALID nRtiv w s: <br /> STUET �---�— w <br /> (,Applicant 14=0 <br /> - 1'RPE <br /> (Mailing Add anz) FORMS r -- <br /> C..�.�,tJt� , C� lS a0-2sN°T$ <br /> Mttys sba ts,,,.ripp Cede) <br /> (Area Code , Telephone "*X). <br /> Sketch (Detailed plains may be sub%itted) <br /> 7' Z <br /> -„ >M <br /> C" z� <br /> cM� <br /> OD <br /> CD <br /> T6 undersigned hereby.aprilies fox PO=issi= to,excavate, Gesnet at axed/or . <br /> arherwise•enc ach•on county aighway fight-of-wa• oA•the ei of <br /> approximately fee m"e <br /> A. . 'perfondng the <br /> follow' r description of work) <br /> �y Y • <br /> Wor will commence on or'about for approximately <br /> days. <br /> I, the undersigned certif)r that I am the owner of the respective'property, or ata <br /> qualified to represent the owner and ,agree to do the 4ork described above in <br /> accordance with thes,. r�laGi of San Joac,(u�n County and subject to <br /> inspecGxon <br /> and app rov�.L`1 `�"t�Q�y . <br /> DateSignature of ApPliCant Title <br /> IGSS'16t.NL1sIFA'Cd�. (i/dol . <br />