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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Oct. 17 2007 02:11PM P 6 <br /> A'PPLICMXOX FOR ENCRQ&CMMT PZMT <br /> 11 7 903 <br /> Date �1� OS'8`ICS USE ONLY <br /> To: San. Joaquin County J'OR #. !�/ / _ REF # <br /> Department of Public Works APN <br /> • C1��l�OR�11A'� A"["�.� �`���f �. DATE <br /> j VALM /10.i6-07 TO /-/-05 DRIVB'WAY9: <br /> (Applicant Name) STREET 4kdWdr.4 .4119 <br /> A= - <br /> xrx�I� <br /> (MilingpAddresss) <br /> Mom <br /> (City, State, •Zip Code) <br /> (Area Code - Telephone X=ber), <br /> Sketch Metailed �1—x* may be submitted) . <br /> The undersigned hereby applies forpermission to,excavatecoast and/ox <br /> 0 1 L. �oars oa County-Righway Wight-•of-tray-•oa-the - aid�:.� <br /> approximately a <br /> OX _ <br /> fallowing ( 3ptsan a work ° Iay pezo g the <br /> x descr <br /> 1 <br /> Wor will conmeace on or,about for approximatelydays. •, <br /> r, the undersigned certify that I am the owxx= of the respective pxopezky, or am <br /> to represent tb�e Own= and agree to do the �,iork described above in <br /> accordance with the =a xegu7.ati, xxs'of sou +roaquizt County and subject to <br /> ijaspection and approval <br /> r��-��C1"{ <br /> sigzzature <br /> of•Applican Title Gate <br />