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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Apr. 03 2007 12:14PM P 2 <br /> APPLICATION' FOR ENCROAMMM PERMIT <br /> �'LEA+�E PRINT: . <br /> Data ��, �0...�w., OFFICE USE ONLY <br /> To: Sart Joaquin Coity JOB # ?30 7 99F #� <br /> Department: of Public Works r Q / APN Cly # <br /> A <br /> TE <br /> VALID` 4:&:Q3 TO^ D -O . DP.x'U'g'4+AYS: <br /> (applicant Hh=4) ST=T wtugi.0 5`7" ,a <br /> la�r1 • �..'N10C S�' �t <br /> ARU S7DCk-7Vm &s. .�� * �. <br /> TYPE <br /> (Mailing 1lddxecta} FORMS —s Lt».V.-- �L i <br /> (City, Sb*te, .Zip$, Code) '�.._• <br /> �� l� ���`til 1 l — - - , , • .... <br /> (Area Co$e - Telephone Number). <br /> Sketch (Detailed plans­mAy be submitted)%M'Okv. <br /> ' J <br /> The tmde-roigned hereby,applies for pexm:Lssion to.excavate, at and/or <br /> Otherwise-encxaach•on County'Mghway Right-of-Way-on.the aidp o <br /> f approximately X00 a like W'c�+ - - <br /> Pollows" wank (descxiption of work) :r by performing the <br /> r <br /> • f <br /> Work will commence on or'about 'a'1. "O for approximately <br /> .. _ <br /> days., <br /> X, the uadersigrxed certify that I am the owner of the respective property, or am <br /> qualified to represent the owner and agree to do the wrork described above ize , <br /> accordance with the rule regulations'of San Joaqudn County d subject to <br /> �iaspecti= and approval.� -;L axz ' <br /> S:Lg=tuxo 4£ A1*V3 .can Title ..., Date <br />