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-=ROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Apr. 11 2008 02:45PM P 3 <br /> • APPLICATION FOR JTC90ACMOM PST <br /> nate • ,\O ,Q <br /> 1 - osaac» cxsE CMT . <br /> To: Sant rToaqu= Cauaty ',7.30017 <br /> Rte' <br /> Department of Public Worka <br /> AM CF <br /> CA�1� C�NtP� �t1i AT [� S .f�V TQC. ► <br /> ys <br /> (Applicaut Xame) STRM imL . <br /> ARU QUAD <br /> (Mh1lingpa FORM <br /> (city, State, .Zip Code) <br /> ( areae Code - xelephoas Nemtber) <br /> Sketch (Detailed pJaw may be admitted) <br /> 7, '5 uz&signed ktereby,applieg for permissio,z'to.excavate, ccnatru,ct anti,/or <br /> oth `erwise•encroach.on country-Highway Alght-of-W&y..olt-tbe . a _ f,.• - <br /> ` pp y ee SO Lam^'kA <br /> —�•� a roximatel tar' . <br /> following work (descriptiote of work) : y vert rmizlg the <br /> i <br /> ' <br /> Work Will co=wce on or about .Q ~1 C1 p 8 '� • <br /> days, •, <br /> fox• approxiatately <br /> Z, the undersigned certify that I amathe owner of the respective property, or am <br /> qualified to represent: the Owner and agree to do the work desari led above in <br /> accordance with the rules.- regulations*of San c7oaquin, County and sutrject to <br /> inspection and approwa ` <br /> Signature of APplic=t - Title Datta <br />