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12/07/2007 14: 46 9:254322958 ARB PITTBURG PAGE 02/02 <br /> 12/07/2007 15:06 2094689824 SJCQ PERMITS PAGE 02/02 <br /> RL16g <br /> Date eiG _T � ? 4�'A'�CE U92 =7 <br /> TQ: $an LToaquin County SOB � 005Department of Public Works AmCFS <br /> EX13. DATE <br /> VALID i 2 I 1-ca"? To <br /> STRNET <br /> (adi1i Ad+ aes) FORMS yv. G'/ <br /> . NOTE -- <br /> ( y, Stabor Zip 'code) <br /> 5- <br /> Y3 L-aSG <br /> M5 7,4.-6719 <br /> Sketch. (Detailed plans may bre eubmitted) 1 n s�":o <br /> The =dzrsignad 4ereby applies f'ar pormideian to excavate, 96"truct and/or <br /> obiaexwiee oxxaxaaan an County i lPtay Right-of-Ray on'the .!qg. dZ 8lSL mida nt <br /> ap}aroximately ����_, feet/mile <br /> by''pavloxmiitg the <br /> fol.lowi g ork (dse arip�t�.on a we 1c} <br /> s r <br /> /SrP Cr d1^LL2C" ` <br /> Work will commance on cr about for e9�pxoatimatoly <br /> 8- days. 07 <br /> T., the undereigned aert�fy thst I am the owxxer bf the respective property, or am <br /> clual.ifiod to repraeent the owner and agree to do the work described above in <br /> a,acvxdanag with the rules, regulatioma of San LloaVir, Countlr and OoJe.ct to <br /> in6pection and appx'oval. <br /> z <br /> g�gri ure afi p�+7 icauat - . itl e fl to <br /> mnaTRn.?n�s886cgbL (6/o0J <br />