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h K'UI"I :I,HL i r UKN 1 H WH I Ch 'bthU 1 U: FHA NU. :2UJ4b401 J_ r E b. 02 -ZUU4 1 Z:Utt-T 1 r � <br /> APDTJX T:.EON FOR WCRQACM=T PERMIT <br /> POWs PRM <br /> oma' b� O�� #7903 <br /> ���� <br /> OFF= 1785 ONLY <br /> TO: Saxt Joaquin county d'OB # { 7 <br /> Pepartn=t of public Works APN . # <br /> VAILW '2 07 To d -1.5-4- T)RIVBWAYs: <br /> (Applicant Name) S'7•`1�EET �'/ / - <br /> 15o w • .Mol " • 1ARM „t s s <br /> TYPE <br /> Wailing AddreAge)� FORMS — <br /> �7W�L1 NO= i <br /> (City, Sba`t-o' .Up code) <br /> (Area Code - Texe$hone Xunbex}. <br /> Sketch (Detailed plans •may be submjtted) <br /> Tile undersigned hereby applies for permission to.excavate, construct and/or <br /> orhexwiee-encroach•cat County Mtghway Right-of-Way"On SSL' <br /> U"�'Q•� C'r 1 L�� ppXIMCimately Lo _ ' Sada'.c►f <br /> a m t� 0 H <br /> f 1..x'4 to e <br /> fA� 9' wO WescriE hien of work) , by Z,erforu g the <br /> -AX <br /> 1 , . <br /> 19 <br /> Work will commence oxx or'about .1000 <br /> 60 gar approximate* <br /> _ dr�•y8. •. <br /> r, tha undersigned cex•1+ify that x am the owner, of the respective property, or arm <br /> qualified to represent the owner axLd •agree to do the wvxk described above in <br /> accordance with the ruixegu�al=3orts'of Saul Joaqu n cotmty and sirbject to <br /> inspection and aPPva� 4'�^ <br /> Sig=tx O of AWlicant a Title <br /> Data <br /> lotss�.vs epCgs <br /> WOO <br />