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Sm-RU IOE FPX N0. :2094640195 May. 09 2007 12:56PM P 2 <br /> APPLrCA=0N FOR WMOACMMM PS=T <br /> Date .. ., <br /> To; San Joagtiixi County 'Ton # <br /> Department of Public Works APN Cly # <br /> - -c�-? <br /> CP�1�1�4�N1 AZ�c S ,t�V DATE <br /> ���' xo -is-� DRTMAYS s <br /> �. <br /> (Applicant <br /> Name) STT �A o,� W ► .. QL�111d c7b Qpp A/5 �r <br /> TYPB o <br /> (Xailing Addrdss) FOM t U 2 <br /> NOTP, <br /> (City, State, -Zip Code) <br /> (Area Code - Telephone Dumber), <br /> sketch. (Detailed �lana may be submitted) . <br /> The undersigned hereby applies for pazmissi= to,excavate, conat=ct and/or <br /> otherwise-encroach,on Couaty-Righway igght-of-wayon-the \N ESS- sidoi bf <br /> GQMrr_1V C-SPC-r_- MAL appzwdmately <br /> of r1\4 T' S , by-perja ming the - <br /> folXowin, k (description, of work) <br /> a <br /> Work will commence on or-about �4q/ D'7 for approximately <br /> keP days. <br /> I, the undersigned certify that x act the owner of the respective property, or am <br /> qualified to represent the owner and agree: to do the work described above is <br /> accordauce with the rule , xegul.ations'ai Sana: Joaquin County- and subject to <br /> inspection and approval, la'<m-flrl�) <br /> Signature of Applicant - T;Ltile nate <br /> ta�tvrm4. mc cc/cot '', <br /> , <br />