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APPLIGATI011 FOR EXCROACMI ENT P9gXjT <br /> PL 32 PRINT= <br /> Date March. 27 , 2007% <br /> OFBT C]t: 178E OiQSY <br /> To: San Joaquin County :JOB #��� RAF # <br /> Department of public Works APN ' <br /> CR" # <br /> sXP. DATE _•�1 <br /> W nnRRTDGP TRRTCnmTnnr, nrn Vj ,�. 3� IVQ��O Q.7 <br /> {Appl,ic8=t Name) _ �RI�gPAY3: <br /> 8 ����2d�YTOt4 <br /> . 18777 N. Lwr. S.acramLento Rd. <br /> (MailingAddxess) TYPk ISU CcFORMS. <br /> NOTE <br /> Woodbridge, <br /> — CA 95258 ' <br /> (City„ Stat" _Zir Code) <br /> C�n� 1 "�Fq_Fs2no <br /> (.Asea Code - .Taldphone NUnber) <br /> sketch, (Detailed plans may be subeatted) <br /> �5 IF-EL; A-T7Ae+jrD Vi p fQ <br /> The undersigned hereby applies for. permission'to.excavate, cometruct and/or <br /> otherwise-encroach on. •County..Highway Right-o£�wa <br /> across :Thornton •Road Y`oa the 1 1. ode: h£. <br /> of K pa <br /> approximately 1/4, feet/mile south <br /> following work (description of;work) : W_T_D' PrP by'Performing the <br /> w rep?a c ems_ <br /> PiDe ha e <br /> be <br /> will incase in c n re e,s urry sea an e: -a, p <br /> re laced. <br /> ,Work pill cammeace on or'aboue <br /> days, for approximately <br /> z, the :tandersi <br /> 9ned certify that 1 am the owner o4-the respective property, or -am <br /> �Nalified to represent .the owner and'agree' to do xhe piarg described above 4n <br /> accordance with the. rules, regulations 'of San ,7'oa xn C6uzity. and subject- to <br /> inspection and approval. <br /> Superintendent March 27, 2007 <br /> 9n tore of Applicant Title <br /> Daae <br /> +m6"rex.ra\reasomc �sioa� <br />