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FRUM :CALIFORNIA WATER SERUICF_ FAX NO. :2094640195 Jun. 06 2009 01:02F'M F' 2 <br /> ' ' ►'s-a�3oc8f34 , <br /> APPLXC&TXON FOR MCROAGBMT PEMXT <br /> Date PAY Q�, os1P=rU MM oxjY. <br /> To; San Joaquin. County 1_-U 7 2 <br /> Department of Public Works Mw <br /> & TO 8��' D&CY1lAY3 s <br /> (Applicant Name) S <br /> (Railing Addrass) la'ogm <br /> NOTE <br /> (City, Stbate, .Zip Code) <br /> &0 i" L_w�- 1 <br /> (Area Code - Telephone Neer), — <br /> Sketch (Detailed plans may be aubmitted) , <br /> T]P_ undemigned hereby applies for permission. to,excavate, construct and/or <br /> otherwise-encroach.on &uaty Sighway Right-of-way--07a•the µ - - sidlRi..'bf . <br /> N V i� approximately f eya_a�a N UU <br /> � <br /> 13exfoxm$A9 the <br /> following work (description of work) <br /> .v <br /> S� 1'l <br /> Work will com etace on or'about Ola 106 _1-35 for approximately <br /> days. - <br /> 1, the undersigned certify that z am the owner of the respective property, or arc <br /> graali,fled to represent the owe and agree to do the %ioxk described above in . <br /> accordance with the ru7. s, regta. ions'of San; Joaquin Couzxty and subjact to <br /> inspection and approval�d$ <br /> .� •1�/1\,moi`A/�\ uq �.ri� l■ � • ��Ll~ L�` 4/� <br /> Signature of .Appli.caAt - Title Data <br /> i ,ti <br />