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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jun. 22 2007 04: 1=PM P 4 <br /> UP'LIhT:E0H FOR WCROACMUM7� "SRMIT <br /> Date... <br /> 4� <br /> #TOB # -73077 REP # <br /> To: 3aza Joaquin County APR • # <br /> mapartment of Public Works 3". RATS <br /> AA SET\/ a MID &-249-63 TO - -a'7 DRXVSWS2. <br /> (App)3.Cuttt Name) STMT pLDr21 A l �` <br /> `. r APFJL 5R9GL'TO/pl_ Q .....•• "' <br /> .,Sso W ,7kOW '-kk-,M TypB LL <br /> (Mailing Address) FORMS a it-14:0MZ <br /> HOTS <br /> State. .zip Code) <br /> (Area Code - TalaP aoae bftAb83:), <br /> Sketch (Detailed p).ans may be submitted) , <br /> The undersigned hereby,applies for permission to,excavate, contMat and/or . <br /> encroach-on County Erj.ghway fight-of-waythe ,'�y4 .C. <br /> o o \1 approximately ' <br /> MSEC P\V R�, •, . ► by''per£ormiag the <br /> liowing work (dese rption of work) : <br /> wox i <br /> wll comwence on ox'about - for approximately <br /> da ' <br /> ys., <br /> I, the undersigned certi�£y that I am the owxtex of the respective property, or am <br /> qualified to represent the owner and agree to do the wiork described above is . <br /> accordance With the rclles, regaations'of salt Joaquin County and subject to <br /> inspection and approval. <br /> r� - <br /> Signta�tuser of Date <br /> tia�c�.asl�s cc�oof <br />