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FROM :CALIFORNIA WATER SERVICE= FAX NO. :2094640195 Mar. 10 2006 04:07PM P 2 <br /> APPLThTTON FOR RSCROAC NT UP-MIT <br /> PL A Ir� <br /> Date A -^-j I ac.✓�� _ oF8'IC.BE U= o�x J. <br /> TO: San Joaquin: County JOB REF # <br /> n <br /> Department <br /> , of Public Works c �/ APR � # <br /> CAUTOi1AINAN R t >;..� SU e VALID ATS TQ -., DRIVS477�Y9z <br /> (Applicant Hasa) STREET .�4�ISTI1. hhV�. <br /> • •1��4� •��.�10�C S�C' ��Cf� AREAs-co�oN QMW cc. <br /> TYPE 4 461 - <br /> AA(Mail.ing Address) Fogms <br /> S��CL1�c01�1 C� ' <br /> cti 0 NOTE <br /> (City, Sbate, ,Zip Code)' <br /> (Area Code Telephone Number), <br /> Sketch (Detailed plans may be submitted) <br /> The undersigned hereby applies for pe -mission to.excavate, conAruct and/or tmk^ y <br /> rwi a-encroach,on county Highway 1kight-of-Waay•oa•the side f <br /> t- approximately --_����4'� . <br /> of • ' by VeY rming the <br /> following.work (descripti n of work) ; <br /> wor ].l commence on or•about for approximately <br /> days. <br /> I, the undersigned certify that I am the owner, of the respective property, or am <br /> TAali.£ied to represent the owner and agree to do the v oxk described above in <br /> accordance with the xul regulAtiona`of San aoaqudn County and. subject to <br /> inspection and approval4 ~ 3-4`1 <br /> Si.gnatuve of Applicant A Title Date <br /> ��rt.�S�Afctaciotr6 cc/ao) I, <br />