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FROM 'CALIFORNIA WATER SERVICE FAX NO. :2094640195 Apr. 04 2005 04:26PM P 2 <br /> .APPLId&TION FOR EN'CROAMMV MWIT <br /> Date ._� ��,. � .d� OFFICE Uig O)MY <br /> TO. San Joaquin county J'oB # � 177REF # <br /> Department off Public Works Q�/ AJ N CFS # ' <br /> ��� 0f1`V111 k f\TT 7 SXP. DATA <br /> \i <br /> VALTZ"L © TO -'15 DRIVEWAYS z <br /> (Applicant K=0) STRBE'T !'�'/e4016E ', . . <br /> \��o w -T .SMV S7 t\Q0 Am 5-re"'Omm -& * -. <br /> TYPE � F , <br /> (bsailiug llddrdd�) FORMS An W <br /> (City, State"Zip Code) <br /> (Area Code - Telepbone Number) <br /> Sketch (Detailed plass may be submittad) . <br /> The undersigned hereby,applies for perrai.ssioa to,excavate, const=Xct and/or <br /> 0thetvi,se-eacroactx-on County B:Jghway Right-of-"Y'.ea- xeN Z VN side of <br /> Lt F.b1L�E approximately ,. —n t-W . <br /> ox Tcl R%N\ kl L1i�k Kyr-e-ollhY pe oxaiing the <br /> P , g� k (�descr. ion of w�o�rk) - _•: <br /> ovy AZ 'Y --C�r�C4' ACXDR'To - <br /> y y <br /> Work will, commence an or'about <br /> . LOG days, for approximately <br /> I, the uadersigned certify that I am the owner of the respective property, or am <br /> qualified to represent the owner and agree to do the mark descrilbed above in <br /> accordance with the rtxl.e , regulatio of San JoagU'in county aad subject to <br /> inspectica and approval.LOL-per-p . <br /> Signature of ApPlicant - Title � � Date <br /> 5 <br />