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Sep-27-2007 12:59pm From-LINDEN HIGH SCHOOL +2098873815 T-610 P.003/005 F-381 <br /> APPLICATION VOR MCROACMONT PpRMXT <br /> Date <br /> USE o=x <br /> To i San Joaquia County 4TO13 # 00 S <br /> Department of Public Works C � <br /> RXP. DATE /o iz O 7 <br /> VA.L= To ^� I7 tT"D7AY9: <br /> S=3T rsy teef <br /> s <br /> I so2-1 E, S <br /> ^ oA <br /> Cis�.l xxg'Addeo�) FORMS — <br /> �� q� l�TOTE - <br /> L <br /> (city, state, zip 'Coda) <br /> (Area bode Teleph=e Number) 11 <br /> Sketch (Detailed piano may be 3 {:ted) <br /> Sea- a-ttaC.hP& rylo p r � <br /> The undexo4gned hereby appli_srf,•l;or p.;rmiesion to excavate, cc--,' <br /> atruct arc/az <br /> atk3exw�,ae encroach azz r_oUnty"511!3hwaY light-•a£-Y.ay_ar_the- ._,_, T side o= <br /> approximatelyof <br /> _ feetr'mile <br /> tal,lowing work �(deaoript:lnzx' rE. ,mrk?• {�:(`a( fit, �, ]may per€orm g <br /> Woxk w9,11 cornmerie or <br /> daya . �r egg=ox�:.atA�;a <br /> r, the undersigned oerti y ghat I am baa owr_er c, pros,,.tx, os a� <br /> ,,{ualified, to repreoeat they owner ane agree to tin the work described above <br /> accordance with the rul'::j, �egu�dtione of Sass Joagxirl Cou_�_y ars subject to <br /> inspection and approval, <br /> ` Mrru <br /> SignatUrs of App1ican.t /: t,le . <br /> Data. <br /> MnATRTL.4.311+SH8C1�L f6/0�! --• ... - • - .. <br />