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' yJ`J/1�/117 YJb 117:41 117�4btf7Cl4 DJI,U rCICI`'Il 1 J hum �` �J <br /> APPLxCATX0X .FOR WCRoACERMNT FMWXT <br /> OFFzct IISE OR: y <br /> To: San JoaC,(tIii county JREF <br /> OS # 00 <br /> # <br /> Departmett of. PUblic Watke ApN _ <br /> SZDbATk� <br /> ARXVRWXYS <br /> (APp�. .stiutTiitams) STILET .Com TO. <br /> Q L ffdt.t,c,'l +� <br /> rJ 2. O r1 r'pt C rJ I OMDS W <br /> (Rafting Addaca a) TYPE "TREAlCiF : <br /> � FORMS 5 <br /> IMMM <br /> (City, State,•.$ILp'Coda) <br /> 20 q- 831 - i�_ 4o2. <br /> (Area code - .-Tvilliphone Number) <br /> Sketch (Det&jled plane •m,ay be siubmitted)• <br /> '. b��'�- '. 5�.�,b�;� �-•�,est. �•o• �,:� • C.� L1,r1 t-7, .s�i\�''��, . ' . . <br /> The Undersigned hereby,applies for perin9.ssion to.exeavape, cozWt=ct gad/or <br /> otherwise--encroach.•on <br /> Cnirv.g� .-t-\o�ly�7 ••Cott I3i.ghimy R3ght-of�way•.�fln-5 the C feet../ ri. <br /> 20 approximate)y of <br /> by ei'formiag•the <br /> following work (aesckiption of.work) ; � '.Co � �� m $ s: •'.►1 <br /> Work will commence oxx 'ox'about 4.rti l �: o for' approximately • ' <br /> 2.o days. •. _�., <br /> I:, the tixadere•igz�ed Cextiify that I QM thea ,owmer' of,the reopeative •property, oz .� <br /> .gLual£Eied to represeU,t„ e• owner anc'i :agree;.to• c O'.the aiork described 'above in <br /> accordance with"the rales; ,regule,tions :of.San aokg4n'County and subjeoit to <br /> inapection and.approval. <br /> Si+g:�atUrA 'af Applicant T.ltie pate'. .. ,. <br /> ' khBTikR.OS� 000L ►6/00) • . <br /> 05/23/2006 TUE 10:39 [TX/RX NO 9285] la\002 <br />