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FROM :CALIFORNIA WATER SERV I(=E FAX NO. :2094640195 Aug. 10 20071 1 :24PM P 2 <br /> APPLICATION FOR ENCROACMUM PERMIT <br /> Date VV� OFFICE QX <br /> To. San JoaCounty aOS # 730?'7 <br /> Department of Public Works APN <br /> W. DAM d _ <br /> a <br /> IAL :6to ? TO ��-/5--07 DRW WAYS s <br /> (Applicant Nam) STREET L.�INAL 1�• � <br /> TYPE -I?*--Lc 1_4 <br /> Mailing Addrans) PODS S 29 <br /> �C10 NOTE <br /> (City, `StAte, .Zip Code) <br /> (Arora code •- relepb*ae Naber), <br /> Sketch (Detailed place may be submitted) <br /> The underlined hexeby applies for permission to,excavate, construct and/or <br /> otherwise•encroach•ors. county.gighway Right-of-way..og.the <br /> approximately � WEST <br /> +. , by!pe oxming the <br /> following work (description of work) : -' <br /> work will commence on ox•about -VE-cm for approximately <br /> lob clays " <br /> 1, the undersigned certify that x am the owner of the respective property, or am <br /> Valified to represent the owner and agree to do the work deacxibed above in . <br /> accordance with the rules regula,tio of San aoaqu?n County and surijectr to <br /> inspection and approval. (O 1U •O , . <br /> .�•\tel�`1�`�� ~V ��`�1• ��� 'V�V��1� <br /> Signatvxe of Applicant - Title bate <br />