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FROM :CALIFORNIA WATER SERU I CE FRX NO. :20946401'=b J u 1. 2e 2bbb 11•eY HV1 r e <br /> APpLx�CA�'so FOR mop-OA.ClrZ�"'�'T 8> � <br /> 3N - - # 7 1 <br /> D. <br /> te <br /> cz <br /> JOS #� 7 REF � • <br /> To. San -10aouT�ty APR <br /> Department of Public Works gyp. DA <br /> VALm a ' TO <br /> STREET,.,.` <br /> (Applicazt Natue) AREA <br /> •\SS0 `�``if • .MW�1rfit, TYPF, 3WSLG <br /> (Uail Address) FORMS <br /> S'to� - .o � Cts 115&4 VOTE <br /> (city, State, -UP code) <br /> (Area code - Telephone Number), <br /> sketch (Detailed slang may be submitted) <br /> rn ry <br /> 0 <br /> No <br /> CD o c <br /> 0 <br /> p <br /> The undersigned hezeby.applies for permi 08ion to,exc8LVate, const ct and/or . <br /> otJaerwi a-ena •on by.Highway Right-Of-wayon•the <br /> q e. approximately Pee ,Ae &e <br /> •. ' , rgormiA,g the <br /> of . <br /> following work (description of work) <br /> ` 77 . , <br /> Wo will commence on or'aE�out fax' approxi telt' <br /> days. <br /> z, the undersigned certify that X am the owner of the respective property, or am <br /> qualified to represent the owner and agree to do the work described above in <br /> accordance with the s, regUlatiors-of San Joaqu' n Cauuty and 8`4bect Co <br /> inspection and approv 0'zi-r&O-01 D <br /> +.r.l !" "'�..� "� to — <br /> Signataze of Applicant - Tike <br /> Da <br /> twarut.ae\eso� is/do) <br /> 4 <br />