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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Feb. 28 2011 01:--5PM P 2 <br /> Da LB C\ rJ_/tt.�Ctha.nr'� p� � orFICB, FES o1�X <br /> 1•c: sail Joa(lai n Coi ty UOU 73 O CO <br /> SES' � <br /> DP- ate= <br /> !� of Public: 3#orks App _-!['1-120-C�•� CRRM1W 27a- . <br /> AMM <br /> " ... xYP9 _ <br /> (kling address) <br /> (Cit7,"StAte, .Sip Code) - <br /> (Area Cade - Taloa M=ber) - <br /> Sketch (Detailed �1a= icy be submitted) <br /> The emciersig7zed haeeby app <br /> L'i" for ,P8=ission to.excavate, consta:uct and/or' <br /> o�se-rsezaach•cm Cc bY• 4 y Right-of- cm-the ri•� _. siid o <br /> approximately „s49,' fGl: /mile ,,,��-�• <br /> of • <br /> b�, 3eY'foY"d iAg the <br /> following work (description of:work). <br /> work will comm=ce oa or'about y )) - <br /> _ J�1 for appxoxxnate3y <br /> I, the uAdexsigned certify. that I ata the Dunes' of.tbA.respective 'propeTty,I or am <br /> q=3 ified to represent the Owner atad aq a to dO tha work descriled above in <br /> accordance with the rates reamlatic •of Saga <br /> inspection and rc,� r s Joagt>� covztty and subject to <br /> �1.. <br /> rN <br /> Sign&t s of Applicant J T3.tle LO i <br /> t�aSx�.yilr�rt�L (c/col •' � . <br /> . z <br />