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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094646195 Aug. 21 2008 10:46AM P 2 <br /> ApPLICAT:COjT FOR =cRo.&CM=T PST <br /> MEM? PRINTS c_ � --I ! cz <br /> Date . `��` o 0?yzC8 USE ONLY <br /> To: San Joaquin Couaty am �,f3Gb'7� REP # <br /> S)epar tment of Public works APX PC � <br /> Exp. I)ATE /•GIB <br /> {Applieftnt Ramo) STYt O —.-- '� <br /> ��---��-- (NaUing Address) PORJS �7?. <br /> NOIR • <br /> (City,State, .zip Code) ` <br /> (Area Code Telephone Nuzmbex), <br /> Sketch (Detailed pla; may be silbw'itted) <br /> T6 undersigned hereby applies for permission to,excavate, conastruct and/or <br /> otherwise-encroach•an Goon�y S£ghway Right-aP-WeY,oia the �►' ' Pi ele;of <br /> C1R� <br /> approximately 1a O AnilX NtS 't <br /> of �14� _�,R 'P�\t� • ' :. y ve-rforsttix s the <br /> following work &scr _w <br /> ( �.pta�axz of:work) <br /> IM <br /> work will commenceon or'about <br /> gays for approximately <br /> . . , <br /> I, the waders:.gned certify, that I am the owner of,the respective ,property, or am <br /> qualified to represes t ltbe Owner and agree to do the ;cork described above in , <br /> accordance With the rule , regulation 'of San J'oaqu an County and subject to <br /> uspection and approval.• <br /> Os"it~as— <br /> Date <br /> 5i$sYatuze of ,a#ppiieaat .. is <br />