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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094648195 Apr. 24 2088 02:19PM P 2 <br /> APPL16AT109 FOR ENCROACBMENT PERXIT <br /> VMS? PRINT: <br /> Date v cl OFFICE USE ONLY <br /> To. San Joaquin County Jon 73 b 7 <br /> Department of Public Works APN CP: # <br /> L1'��,����,� �tl\L� .J1..1�►V EXp. DA3'E !7�1 �2C��Sl <br /> VALID, CI-2s=��oto 37�trV&ffiAYS <br /> {Appliaant Name) STPMT <br /> 15' 4 W.�r`'E N�t�I�C SC 14p Am Tc-x-- log omp � <br /> TYPR L L- v <br /> (Mailing Address) FORMS <br /> xo= , <br /> f(city,\Stater .'Zip code) <br /> (Axea code - Telephone Number) <br /> Sketch (Detailed plans 'May be siilamxtted) <br /> The undersigned hereby,appliem for Permission to,excavate, construct and/or <br /> Otherwise-Ssr, <br /> county Highway Right-of-way••oi� he . h1CSF t� nide;, f '. , .. <br /> of Mix\ approximately �,_�a• ee Cade S"T' <br /> a , by "P the <br /> (aesCr� tion of work) : w. <br /> M <br /> Work wi11 commence On or'about for approximately <br /> days, . <br /> 1, the uadersignecl certify, that S am the owner' of. therespective -property, or am <br /> qualified to represent the owner and agree to do the ,uroxk described above in , <br /> accordance with the rul s, regulati ns'of San Joaquin county 8,ad subj ect to <br /> inspection and approva](, - 3, �% <br /> Signature of Applicant x.itXa Date <br /> �a�rraR.ao\rrreaermn ee/oo) ,. `, <br /> , s <br />