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05/14/2007 15:34 2994689324 SJCD PERM,XTS <br /> PAGE 9x/02 <br /> APPLIGA'1"TON.FOR 14KCROAC NT MHIT <br /> Aa.te 9_ 9"zC21. USX" ONLY <br /> T6. 9= Joagviri county ,7OH REP # <br /> Depart eht of Public W6rke APS <br /> DAT <br /> VALM <br /> (Appli eazlt dame) S'r1�pET D; <br /> (Riling Addreae) ac�ms. <br /> (city, Sbata� .Eip Gods) <br /> (Aleft Code TelephC;ke Xtaa}ber) <br /> Sket:c]a, (Detailed plann may be etitbnUt:ted) <br /> Posit"Fax Note 7671 oma vaB s► <br /> From <br /> CaiDept, 001 <br /> The undeVoigned hereby, applies for. permia'pion to.exoUvate, conaat suet: and/or <br /> ot:herwisa-encroach,on Count y.Sig1xway Opt:-of-%W­03a-the s Z` eide ,o> ,.. <br /> �esdEKfAs Va.., approximate? �CCAA2 e� <br /> of �Vl(IS.L. t Y _ feet/mile c.J^c�4�1 <br /> by Ve>:i ormaslg the <br /> to].loc�jg work r(3eecxipt:i.da of.w�oxk) :' <br /> ys <br /> i o Sbti � . <br /> Work will commenCiR on ar'about <br /> � days. , <br /> for approximat6ly <br /> z, the .'uAdersigned certi.fY, the.t: 2 am' t:,he Miner Of..the ,re{spocti.ve •property, or am <br /> qua]i£ied to repre00snt t:he owner and';,,gree' to. do .the work described above In <br /> accordance, with the rules, rGOAlations 'of San Cotqu3n County and subject to <br /> irapection and a� <br /> S1 ra of Applicant Title 1 d _ <br /> (�_� � n m <br /> M�+r`S'lQ1.P9\Pl.4glCApL {6/00} <br />