Laserfiche WebLink
Jun 28 02 10: 02a Valued Customer <br /> 209 468-9:icR <br /> APPLICATION 80R T PXMT <br /> PZIE"N PRINZ s 1+ <br /> nate / A 2 ADC OYYICs van MLY <br /> To: San Joaquin County JO$ # 23015 - Z RRA # <br /> Department oP public wortrs A1?N CR # <br /> \ EXP DATE <br /> 7-0 tl) VALID -2--!-OG To i/ ���olo AAZva01aF�: <br /> (Applicant rQa ) STR$ST —Z u,VC ►elf.._.- t ------- <br /> TYPE _rlas <br /> (mailing address) FORMS <br /> I'� �rC'�c� �5 3w ROTH <br /> (city, State, zip code) <br /> 2t /Z3g U3% <br /> (Asea Code w selenboae NUMber) <br /> Sketch (Detailed plana may .be submitted) <br /> The undersigned hereby applies for permission to excavate, construct and/or <br /> otherwise encroach on County Highway Right-of-way on-the kis T_ _ side of <br /> +LyDroximately feet/+veils Nc9 ' <br /> of . F(=Qw- _ L► K.-i OLfN by performia the <br /> followinxork (description ag wQrk) : -t&4 v C1A \0L-1zrY 5 t r.) U V r—Pc <br /> work will connnence on or, about / 1 © for igpproximatoly. <br /> CD <br /> days. <br /> Z, the undersigned certify that I sea the owner o! the respective property, or ase <br /> qualified to represent the owner and agree to do-, tZi.lwork.deaaribed above in <br /> accordance ritb the :alas, : lac aaas of Sara J Conn and subject to <br /> insyeetiou and approv <br /> ��•�� esles� <br />