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"Pr.XdATXOM.FOR E$CRO,ACFI>l M PBRMIT <br /> Date 7 �L. {O 0.17tdt Vg$ 02MY <br /> Tb: San Joaquin county JOS # �� RAF # <br /> DOP&rtm6Ut of- Piublic WOtke APN Or. �-- <br /> LOC� -pf5 <br /> EXP. -DATE 4-1, 6!0 <br /> fl,�Z.' �rhet'rJ VALID•S TO d DttTvBorAY8: <br /> • , d�►pplinbist 1Qame) 9TR8�'f ---- .���1�1.�� ,V� . <br /> AREA (t -tank:• QUAD •46 <br /> 66 x 4 coy TYPE w <br /> (Mailing Addrisoe)- FORMA. � UWj�r19� . •. •• <br /> 'NOTE <br /> (city, gtatb,-.%jV-Code) - - <br /> (Area Code - Teilviphoae ff u*her). <br /> Sketch (Detailed Oiaae may be-submitted), <br /> 7 � D <br /> - 5ee- raps �. . <br /> 1 'f IC,• SNau dot Y1?Ci,/144o <br /> • •� r✓la���G.n �r���.can1'rols �'fal� roads. Two-t,.�a-j ��++ o� <br /> daR, OViotunS. Gr>: work;n huG� two-WA+� fle.Tr,c Con-�'(o+N <br /> t^>Or toj '`°� 5 , <br /> jti©.IL be h'la,n f+4 enc{ `,,, .►. an a (a open cv oa ad !a4te �a . �ohciOt rr <br /> s�..a 1! �pravidl� e�cc�.�la�`��s4� ctceos wc4►ti, i� � eeienzgCD <br /> a <br /> 7F7 O - <br /> The undersigned hereby,applies for permission. to.excavatei_ onetruct and/or <br /> otherwise- oach on.-County.Higka"y Right-cfWaay-an-the. : sid oE: :see. (back <br /> L�Iptr �t a pioxi matelyy 2000• *+ e /mile <br /> of -f E�Iio l-! ,"iUobo•Ft.E.6FH $�.,. • per€oiau'ng th6 <br /> following work (degcz,i tion of:work) : to4111� o-�►ioiPS -�o � -,^�f►►�y'+ae <br /> l.oC 70n O L 19e btr U,+ilii+ , <br /> Wolk wi• 1 commence on .or'about { aq- 1 06&2 for' approximately . <br /> l. <br /> the undera.igned ceyrtify. that I ate; the .own®x' of,the xeapecti.ve °property,.. or •ant <br /> qualified to repreeent..the owhOt and';agre'e' to, do-the.WO2ik described above in <br /> accordance with••the• rules; .regulations:of' San Joagtiir+, county and subject to <br /> inspection and.approval. 1 • <br /> • �c��tiic.c.a, �'� '''aha PiL •w►� _ . ' T��;��'_,.��. . . : • . • . . <br /> Signature 'of Applicant itle nat® <br /> MAA2'lA.P9�l6R$f�L (G/.00I \ . <br /> 1 <br />