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�PPL-ICAT I GN FOR ENCRCkCH-'-MTENT PEPMTT <br /> PLE.A-SE PRINT: <br /> Date OS 1 .�a OFFICE. USE ONj_ <br /> To Se-1-i Joaquin County <br /> Derarzm-el -- of AL1 i rr r.^Iorks CR 4 <br /> EXP_ DT--TE 1V <br /> PAC-kV-%C- GAL- �LECTf-lc. CZ'T, <br /> C-0 -- uID �ilo To DFI77EwnYs_ <br /> (Annlicant Name) STREET <br /> P12Er e PG <br /> QUAD Su:) x <br /> R�vEFL 1'f-VL1c Pt. E TYPE <br /> (Ma4li—g -ddress) FORM'S <br /> KOTE <br /> (City,. State, Zip Code) <br /> SS`► 3`E'1- Sa3 0,ncv!5- A ou6L <br /> ( Sea Code - `telephone NT=ber) <br /> Grp C�_g3 <br /> stop <br /> sketch (Detailed plans may be submitted) TRAFFIC CONTROL PLAN <br /> PCa cE CorySTR�cT(oN �- wS -Co SHALL BE AS PER <br /> CURRENT M.U.T.C.D. <br /> S'%) TPLAfrpt C C&a.+-mat" PLASS CALIFORNIA SUPPLEMENT <br /> i <br /> The ".Hale �?Gned hareby applies for ge=j ss10n to eFca-Trate. CoastrI.].ct ter'/or <br /> CitnelN_se er�C rCa CY:. Grl CGunty H1gr_wa,/ R.ght-O�-Way GP_ the side of <br /> LINNE E a -proximately -eet/mile <br /> o. bi performing the <br /> fGllowir_g work (descript on o- work) : lav TALL, OVca —i—Plb wE <br /> Work will commence on or about yC3 for approximately <br /> -- <br /> �. <br /> � days: - - <br /> I the ur dersigned certifv that I am the owmaer of the respective property, or am <br /> ue.li Lied .o rcp =resell" the owl er and agree to do the work described above 1 i <br /> q <br /> accordance with the rules, regulations of San Joaquin County and subjec`. to <br /> inspe ion an approval: <br /> o�l� leo <br /> Title <br /> RETURN�PERMITS. i O. <br /> rEESC-�'. ��/Col <br /> :OS PROCESSM DESK- BLD 1 <br /> 4040 $LWM <br /> STOCKTON, CA 95204 <br />