Laserfiche WebLink
04/20/2007 15:00 2094699324 SJCO PERMITS PAGE 02/63 <br /> APPLTCA�2QN FOR ENCROAC ENT QVRMIT <br /> 77 OgFICE rigs ONzY <br /> pate Oz3 a <br /> Boa i/o0 # <br /> To: San Joaquin County <br /> DepartrftWltJ�OIf pulb�pic Woxat F DAT"S - U� <br /> /� �! ( EXE �l►�- �l�(.) dt.�LlN VAL gyp, 10- `TO DR <br /> STET /fw T 'UT <br /> {zapp7 icax�t Name) <br /> AREA <br /> TYPB <br /> VdRMs z, <br /> (mailing Addraa®) NOTE <br /> (City State. .Zip Cade) <br /> (Area cede TaZehone Nm1ber) <br /> Sketch (Detailed plano may be siabIfti.tted) <br /> C\, <br /> Cc CIZC <br /> C= 'L <br /> The underpigned hereby aWies for permission to .ex cavate, n8tru'o '#Vide.of <br /> of rwis -,an,cxo&Ch ©n Couxlty.,Highway Right-pf�w TYQC n-tha feet/mi.]e uE°� <br /> approximately t e'Per 0,mg_ng�� <br /> by /G�S <br /> of <br /> following wor (dascription of wor <br /> aJ <br /> for approximately <br /> work will comxnen,ce on, or,abouT t _ <- d <br /> (� day'S, <br /> 1, the tuldergigr3ed cortify that Z am the ,ovmer o:C the respective property, or am <br /> qualified to xepregent the owner and agree to do the work dedcribed above in <br /> accordazaae with the rues, regIxIationo of San. JOagMt, County and subject to <br /> inspection and approval.. <br /> a 316 <br /> Daae <br /> signature of Ap'plieant - TitlA <br /> WSGT6R..P`3�17889®T (6/ODI <br />