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FROM :CALIFORNIA WATER SERI)ICE FAX NO. :2094640195 Jul. 09 2007 10:53AM P 2 <br /> APPLICATION FOR EwM0AM=T PHFMT <br /> Date OrrYCt USE OXY <br /> TO: San aoa ovnty .SOB <br /> Oepartmen.t of Public works APN Cz # <br /> C.A�-1' ORN�A • DATE <br /> M F1TrC,?,, 5UN 4 V'AL7-1-67 <br /> 1x} -4 07• TOO�J7. AWMAYS: <br /> (Applicant X=6) ST T /41e <br /> ASSOW -7MA0V S7 �W\M AR1 A <br /> TYPE v G e5 <br /> `t,y, (MarilingppAddse►ss) POPM <br /> SkML11 O. A U\ as zs NOTE <br /> (City. State, -Zip Code) <br /> (Urea Code - Telapbon,e M=ber). <br /> Sketch (Detailed plan may be submitted) <br /> The underaigned hereby,applies for permission to,excavate, construct and/or <br /> othe�se-encroach,on County.Righway P ght-of-wayon•the £��'' sidp:.vf <br /> VIS& i. P0J"'_.. approximately a ar(�le NOi "A- - <br /> Oft• ' <br /> followingwork description of work 't'N � 1► <br /> Y <br /> Work yyw�i � commence on or about for approximately <br /> �Q days„ <br /> X, the undersigned certify that x am the owxcer of the xespect;.ve property, oram <br /> qualified to represent the owmer and agree to do the work described above in <br /> accordance with, the rul , regulations'o£ Sara. JoagUn County and subject to <br /> inspection and approval cA-as-(sq <br /> Signature of ♦Apglic t - Tf tle Date <br /> F7LSTIDL.7S�A' A (i/001 , <br /> • t <br />