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FROM :CALIFORNIA WnTER SERVICE FAX NO. :2094640195 <br /> Mar. 30 2006 09:16AM P 2 <br /> AP.PUCATION FOR ENCROACM4'WT PERMIT <br /> PLEASE-"JkM- <br /> Date <br /> OFFICE USS oNsl'.x <br /> .To: San Joaquin County' JOB <br /> Department of public Works REF <br /> AFN It <br /> (Applicant ;blame) ASID T° a ARTVB'Wk�'s: <br /> - r STREET ! VC•1 SS4 W -TWMAo V ST 1 ARRA S QUAD <br /> Wailing AddLreas) <br /> TYPE _�L.td�e <br /> Sa<)3 NOTE <br /> (City, 9t&t6,r,Zip Code) <br /> (Area Code - Telaphoae Ntmtber) <br /> Sketch (Detail©d plana tray be sua mitted) p <br /> ti v D <br /> Coul,eAcro� SftAe.L I�12ou)c`e APPRoP�ig7'E wr►Q�u► Q. 2 <br /> � COJl71'+2AGtOi2 L � S/GI�1q�t ,� t- <br /> bulli <br /> CD <br /> r2lK/na4 �'`«`tQS. <br /> c C�p c <br /> G <br /> The undersigned hereby,applies for Permission to.exaavate, construct and/or <br /> aCh •encxarz orgy Counb <br /> Y'Highway Right.of-Wa 'on the <br /> of �' - - <br /> approximately t oide,.o <br /> bet <br /> llo sng work (descrxption of oxlt) : by' erEoxming the <br /> Wor Z1 nommen ori or ar�out <br /> days. ' f r approximately <br /> I, the undersigned certify that x am the owner of the respectIve property, or am <br /> qualified to represent the owner a d A <br /> accordance and' gree to do the work descxiied above 3z\ <br /> inspection and' theappxova�l s, reguls'of San Toagt4n COunty and subject to <br /> �C�'��-4 ation <br /> Signature of <br /> ApPlfcant - Ti1:le <br /> nate <br /> w�sssn.as\sasccm� ca%ooh , <br />