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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jun. 12 2007 11:57AM P 2 <br /> APPLICAV'CON FOR ENCROACBUM PMMT <br /> T <br /> 7 � 8 <br /> Data. . ......0VrXCX.YSR_ONLY---- <br /> To: San COaquin County a'os #, 3o77 _ R # <br /> Department of Public works AM ClY <br /> vM Wiz. T -�s-� . n=Vrmgz. <br /> (Applicant Name) Sx , Ncr�9�� A► * _.,. <br /> or. <br /> TYPE 73EGL S .E <br /> (Mailing Addxaas) FORM , Z <br /> @10 110T2 <br /> (City, 9hatttel .Ziil?�Code) <br /> (Area Code - Telephoaa N`umber), <br /> Sketch (Detailed p1=3 may be submitted) <br /> The undersigned hereby.applies for permission to.excavate, cotst Ct and/or <br /> othezwise-eacroach�on Courxby m.ghway R ••ight-of.% .thin - <br /> , approximately � f a <br /> of "U�► - `3�. • by Vexforming the <br /> following work (description of work) : <br /> Work will corcmeenoe on or'about 01e-0't3'Q'Z gor approximately <br /> �Q days <br /> r, the undersigaed certify that 3: aro the owner of the respective property, or am <br /> qualified to represent the owner and agree to do the 4ork described above is . <br /> accordance with the rul , requlations'of San Joage;da Co=ty and subject to <br /> insgectian and approval <br /> Sigrsature of applic= - Title Date <br /> }09TifL.D06 f6/00} ' ' <br />