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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Sep. 21 20Nf' r 4 <br /> .A►PPLZC&TIog POR. MCROMMMM MWIT <br /> • �,�gASR -PRINT: . <br /> Date orriCx USX ONLY <br /> To: San Joaquin cauuty JOB '73077 REP <br /> Departwmt of Public Works APU px '. <br /> CP��I�ORNIA'M RTE SSV M. DATS �: 1 •___. <br /> VALM -9-/33--d1'� T'0 DRIMAYs i <br /> (ApPUC=t xa e) $SET LPZ% r Ave, <br /> 1So�r1 • Mot " •1C <br /> AM S-T.�v 1V s E <br /> (Railing Addraso) FORMS <br /> (city, state, .rip code) <br /> (Area Code - %-elephone W7 xcber) <br /> Sketch Meta.iled �lar4s may be submitted) - <br /> The atdensxgsed hereby,applies for pe+rmissioa to,excavate, copatVuct and/or <br /> oth <br /> .'se- ro CYt•On County M,%ghway R:Eght-0x-Wa -•os <br /> appx�o d=tely Y e <br /> of � . <br /> olza work (desert ti o work) ;• • hY 2 fo q tote <br /> t� AL.4 <br /> , v <br /> Work %-III commence on <br /> days.or'about <br /> for approximately <br /> •, <br /> 1, the Undersigned certify that x am the Owner of the respective pro <br /> ertor ant <br /> t�uaxified to rePresent the ownear and agree to do the mark described above l in <br /> accorftnce with the rul , xegulationS•of San zaagtt x co+xnty and subject to <br /> inspection and apiarova�,r\-\3•0'2D <br /> Signature of Applica= - x'itize <br /> Date <br /> ras`3�Cn..ps1 is/ao) - <br />