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FRU1.1 :CALIFORNIA WATER SEROICE FAX NO. :2094640195 Apr. 18 2008 12:28PM P 4 <br /> APPLICATION FOR EVMO&CM= PEPHIT <br /> Date V"I 4. opsics-oat ONLY. <br /> TO: sen Joaquin County saga # 7 <br /> Xyepartment of public Works AMMM. DAM <br /> CRS.!F�RN1R `h'A-C�c S .t�1f = <br /> V'AI,xg -4- _ `✓rods <br /> DIY � 4-i�-cA3 TO 7-1-nf3 MXVMYS: <br /> (APPI'Unnt game) sum Fg,_-ISmo AvF- <br /> .\ssow 'MY-Mw S7 immi te <br /> • Mai li ug addroon) FORMS s, *r=,w; _ <br /> S�.oC►��.o�1 � Ccs ���� xo� , <br /> (city, State, .Zip Code) <br /> aa�� ����a3►�r <br /> (Area Code - Telephone mer), <br /> Sketch f petai.ied plans may be submitted) <br /> N <br /> The uzudersigned hereby,applies for permission to.excavate, construct and/or <br /> otherWi se-encroach.on Caoobr 8ighWay &fight-of-Wavy-os.•the ' a;W„•of , .. . . <br /> �`R'�,S�y�J 1�V'E, approxxmateZy 11 4' f / e N Of . <br /> Of _ , ��iCC T"s, ._W� r. • , by per ozmi.ag the <br /> following work (description of work) : <br /> •CCI ' 1 �.Ilya MIF , . <br /> 1 A\- <br /> \N► �V� C 4tJ'FRSt�1O IiV' c"�fl�c3�1��LS.1 <br /> Work will comax=e on or.about `#-1"I•p$ _ for approximately <br /> 1-C1 days. <br /> 1, the undersigned certify that x am the owner of therespective property, or ata <br /> salified Co represent the owner and agree to do the 4ork described above is <br /> accordwce with the nae , res*ations'of San Joaq4a County and subject to <br /> inspection and appro'a]. Ob`\-L•©a) , <br /> .,'�,MAC1�1A�Do�o�R1��S• CL�R1�. _ C�`�t I l'� I O8 <br /> si gmtu:ra of APPli.c=t - T3Lle Date <br /> M+�err�.niu tt/aa3 • <br />