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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jun. 22 2007 04:12PM P 2 <br /> '-7960' <br /> FOR WCp <br /> Date- <br /> To: Sall JOac�+xin Couxtty APRCF <br /> OTOS <br /> Department of PublIC Works EXP M DATE -�- <br /> . DAT3� <br /> C.��1 AOR 1E� 11�TZR 5 . 11 VALID °7. TO 4.L-a7 DRry US z <br /> (Applicant Name) STMT SU 19r <br /> pow • a s�rlc <br /> (Mailing Addreee) FORMS <br /> ' (City, Sttate, .Zip code) <br /> (Area Cotta TeXephoae X=bQr), <br /> Sketch (Detailed Plans may be sub'A'tted) . <br /> The undersigned hereby applies for permission to.excavate, const et axed/or <br /> otherwise-en xo ch•on county Righway Right-of-Wa os• the 13i ,•o µ <br /> approximately ` a 1RA" <br /> r. <br /> of . `' perfo=i ng the <br /> followia% work ��`` , <br /> SIT, , <br /> Work will commence on or'about ."� for approximately <br /> t•� <br /> days., <br /> x, the undersigned certify that I am the owner of the respective property, or am <br /> qualified to represent the owner and agree to do t:he wo=k described above in. , <br /> accordance with the xu*9, regaati 'of Sang Tbaqju�n, county aLud :eject to <br /> inspection and approval. m*sc"k-6 <br /> V� 4 <br /> Signature of Applicant Title Date <br /> �asrsR.as�rssaati <br /> cc/so) <br />