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FROM :CALIFORNIA WATER SERUICE FAX NO. :2094640195 Apr. 25 20C <br /> APPTAXhTION FOR MMOACMUM P2=T <br /> Dataar1.t^��l oppzc .WX.obmx..... <br /> To: San Joaquin County ''OR # �3d?7 # <br /> Departuenti of z bli c works A29 <br /> � # <br /> DATE� � �0 7 <br /> (Applioa Xt zQme) S',1`RSg'!.' * . <br /> law F'Ei1aS' SC •1Cx� <br /> AM <br /> orb Q <br /> reps <br /> WAiling Addr4as6) VORMS <br /> (C,i t r, state. .Zip Code) <br /> 3,(A- <br /> (Area code - Telephone M,Mber)• <br /> Sketch: (Detailed plans "may be submitted) <br /> TLe undersigned hereby,applies for permission to.excavate, construct and/ox <br /> otherwiseoach•on Couatr Rii.ghway Right-of-Way-•on•the •W .' gids»-bE . <br /> •, r approximately —5O ee N�FL`C"t~1 <br /> of -('. %• by'pextormiftg the <br /> following work (description of work) <br /> STS <br /> -�'� <br /> Work w31I commence on or'about C1 +e`�c5 _ for approximately <br /> days., <br /> X, the undersigned certify that x am the owner,of the respOCtive propezty, ox am <br /> qualified to represent the owner and agree to do tha work described above in , <br /> accordance with the rul regula i of San Joupin county aad subject to <br /> inspection and approval [�la� -a <br /> signature of Applicant - Tttle Data <br /> p��yL.pQ\DSiQmL fP/00I , <br /> !l <br />