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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jun. 09 2006 03:42PM P 2 <br /> ApPL:ICATxQN FOR MqCjtOACMCWT PERMIT <br /> pbrAS9 PRSPoo <br /> Date �-+� 071=3 US3 ONLY <br /> To: Sanoaquin County JOB <br /> h <br /> Department off J�Public works APN _., a � <br /> ZkM a 'VALI 6- -cfc TO 8-15­0(0, , x11ZxVgFYAY3 <br /> (Appl- &044t Name? STRSRT a <br /> tom. tluk <br /> (Mailing addrozz) FORMS <br /> NOTA <br /> (City, State, .0 p Code) _. <br /> aOCk <br /> (Area► Code - Telephone Number), <br /> Sketch (Detailed plans may be submitted) rn <br /> v <br /> C7[7 <br /> _n m <br /> c M <br /> r { <br /> c M re's <br /> x C <br /> N <br /> The undersigned hereby applies for permission to-excavate, cOrw -Pct and/or <br /> Otho a •encroach om countr Highway Right-of-W on.the sid :,of <br /> spproximatel, ee:t <br /> of �t.� ' .r. o irig the <br /> following-work (desa ratioof rtav <br /> Work wx11 commence on or,about -��l „� for approxigna t y <br /> days. ' <br /> I, the undersigned certify that X am the owner of the respective prOVOrty, or am <br /> qualified to represent the owner and agree to do the wiork described above In, , <br /> accordance with the rul s, regulatio 'of San, JoaWn County and subject to <br /> inspection and approval z%?S-4C74-A"0 <br /> signature of 2#pp11cant nate <br /> i <br />