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'CAL.FORN I H LINTER SERVICE <br /> FPX 110• 2074640135 Jan. 24 2011 01:16PM P 2 <br /> APlIL3t 'T3:0 ' FOR ENCROAC H PRP-MIT <br /> MiAS <br /> Date <br /> To: San Joaquin OFFXCE.USE <br /> Comity <br /> Department of clic Works S0SAPX <br /> 3©U7'7 R <br /> LSA 1�— C)K � <br /> {APP�ictxa VAZID t 2411 <br /> STS cr> <br /> t1 -.. DAA <br /> APYA <br /> QMD <br /> Tyru <br /> Cling 144x0110) _ ZIC <br /> zip <br /> �roNOTEsus rvzv • = '" •-------... <br /> (CltyStStatic ,xip cads) <br /> • <br /> (Area Code •- Tel3lo�se ►)Sor) • <br /> skett <br /> (D-ls p3aM5may be submitted] <br /> Tie undersigned hereby a 1i <br /> 0th � es for Permission to.exaavata* <br /> • by <br /> •on �otxmty..highway Right-af-WaY+•oi1•the c*wt=Ct 'aud/or <br /> of approximately _ /An �- ... <br /> fold awiag i+'oxk {descr' �o f •. 1 b/at-t�e <br /> tion ork} : Y perfartnix�g the <br /> �Tork wilx cgMMence <br /> on or'about <br /> days.,, ger appxoxi mates <br /> �,. <br /> X, the uadexsigaed certifyI <br /> Qualified to repxesemt the owner am the owner- oj•the respective ro . <br /> accOrdInce with the 10x!4'agree to do the <br /> es work described abover rata <br /> „'sQect�om and appxo, San c7oaqu-�zC6=tY and subject to <br /> •fin , � • . . . <br /> Sl=attre Of •A6licaht^- Ti <br /> Mr�_rr <br /> is/oo) • I)rate .. <br /> 1 <br /> i <br />