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F^DM :CALIFORNIA WATER SERVIrCE FAX NO. :2094640195 <br /> • Or;t. 16 2008 04:11PM P 4 <br /> �9 P '�e�CA'rYON <br /> FOX =CR0ACEI0T PERMIT <br /> gxrEASE PRIAT'1"• • <br /> Date V nom• <br /> OFFICE USE ONLY <br /> TO: San Joaquin County JOB REF <br /> �uC7G d'f` <br /> Department of Public Works � <br /> APN CR . # <br /> Exp. DATE —1 QJq <br /> VAL ID LO= aQ TO DRxVSWAYS: <br /> 4ppli,cant: Name) STREET �. <br /> AREASTtcA.! <br /> -�--�----- �� '� - <br /> (Maid i:ag Address} TYPE <br /> NOTE <br /> (City, Sbate, .Zip code) ; <br /> (Area Code - Telep)jane Xtuaber) <br /> Sketch (Detailed p1aUS may be submitted) <br /> Zl� <br /> The undersigned herebY applies for <br /> otherwise-encroach•on permission to,exavate construct and/or <br /> a <br /> ASSN T' Cty AVS.. y Highway Right-of-Way'-*a the�o�� sids:.of <br /> °£ 'A�•-ACE PSV£. aPPr°acimately <br /> following work (CSC � ' a r by performing the <br /> �pt1�?n 6 ;work) <br /> r N1 <br /> Work <br /> will cammence on or'about <br /> ---- �--____ day's. for approximately <br /> r, the undersigned cextif . <br /> Y, that x anrt the ownear' <br /> qualified to reprof.the respective propertYax <br /> eam <br /> asnt the Owner aaat•agree to do the ;Work described above,3n <br /> Pec an and e with the title reg req -8'of San Joa" Cdu:aty and subject to <br /> '�Prd'craa.•�)3.�pS'.,pg� <br /> Z-19nature of APp33cazst - T3.tle �, ��•, <br /> Date <br /> wu�a..Yt�nasezms, fa/oa3 • <br />