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NG-IJ-29-2007 16:55 From: To:2094689324 P.2/3 <br /> u4111 G4 %J r— JWiIJGa7 WCLurU ko%4vv1J1iIC'r4WO -rvu-a,acIT r <br /> APPLICATION 8011 B�fiCR� FUNIT <br /> MrAss Pltrnrr e <br /> gate r ' O <br /> OpllM vs* <br /> TO: ftn L'oaqui,n County ,'' r <br /> nCpartment uZ 8ublie workg a08 # ,,,ca r.-.��_ Pimp # <br /> AM Chi' # <br /> 4 C7 f EXP. DAT$ -1 <br /> ( pYioana Naas) <br /> STUgT <br /> U�1 .7 rr AR.p171 ape-, pTTAC '� -----�-- <br /> (Kallsaa FORM9 <br /> ' ,..� <br /> feltyr, state, 9iiL) Cod.) <br /> 239- 03 3,ulv <br /> (7u�ew qad. - r.lagAons Dlumbor) - -- <br /> now- <br /> Sketch (Ddtmi��.d plate enay bt OUbmltted) <br /> The LMdersiffn&d hareby appli•o for permie:e�.oi! to exCffiVdtG, o011plrrllOt 4ndfOx <br /> cath rw . "nor Q on County Highway RAght-of-Way as the bit _ <br /> approximately � $id�e of <br /> �a mi.la <br /> fallow sr work nu(;riptiori a work) , r by performing the <br /> i <br /> YJork W'Al commence on or about <br /> Jaye. D for approximately <br /> x, the underuigned certify khat x am the a <br /> euali£ied to xspreasat the owner m « wasr of the respective proparty, or am <br /> 4Ccprdenom with tho �,cs, r. gr'as Co da the work described above .Sn <br /> Inspection and a gulatlonm o� San Joaquin County and subject to <br /> approval, <br /> signature of <br /> APAliaaOt - Title <br /> �atr <br /> 9►RZ7u,lR11*1AomL fi/aay <br /> 1 <br />