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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 May. 22 2007 08:47AM P 2 <br /> APPLZCATIOX FOR MMOACMMT PZWT <br /> nate <br /> � <br /> 4�l7 OrJ'7 bxC�_ash.ormx, ,. <br /> +.1• JOS # -7-3o-77 ` � .,. ...-. _.._.. <br /> To.- <br /> San T0agMbM County Department <br /> Department of public Works APR <br /> M. EATH <br /> di To�g T 0, DRMMg <br /> (Applicant Name) STMMT <br /> (Mailing Address) FORMS <br /> ':N5 as)3 110T11 <br /> (City, SSb�ate, .Up�C,o`de) - <br /> anl� <br /> (Area Code - Talaphone Somber), <br /> sketch (Detailed plans may be submitted) <br /> ATTAR W ECJ . <br /> Tl a undersigned hereby,applies for pezmission to,excavate, construct and/or <br /> otbmrwise-encroach,an County-Nighway Right-of-Wayos.-the <br /> f1 approximately ,Ta £e /mile Fac4 <br /> of A 144 r o��U44,- ' .•. by per£o=ing the <br /> following work (description of work) <br /> 1. 4&'' Strilu� - )• Guy 3x, t ' <br /> �Abr� GG�r1nS�tt ,,,(kyr„ fin: � 1 rd_�'IDea <br /> Work will commence on ox'about ate. (5L'0"7 _ Por approximately <br /> �d ----- days, <br /> z, the =dexsi,gned certify that I am the owner, of the respective property, or am <br /> qualified to represent the owner and agree to do the aiork described above in , <br /> accordance with the rules, regulations'of San aoaqu�n CouAty and subject to <br /> inspectic= and approval.. <br /> sitg=t=8 of Appicant itle Date <br /> a�rm,.nslves�oma tc/oo) <br />