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PLEASE MIRT. APPLICATION FOR ENCROACHMENT PERMIT <br /> Uix"irl Ccunttii CF CE USE ONLY <br /> OePar'.rieni of Pb' JOB <br /> hc,-,,crks <br /> AR% (ALF <br /> CRV <br /> EX�l DATE <br /> ame ik 10 <br /> fAppjjcanjrM - �) - <br /> STREET Or <br /> AREA <br /> ;7"JIU -AD <br /> TYPE <br /> FOR&IS <br /> -Z) NOTES <br /> (Cky. _7ip <br /> .7 Codc� <br /> (Area Code-�ei <br /> _4 <br /> $ket�-h --------- <br /> arsrnay <br /> -4F <br /> ,;T11Z <br /> '40 <br /> -�AD <br /> ITFhc*undersignmed h,_reby aDpl es to, <br /> the sslon to ex--ftate. <br /> side of 7 <br /> all"Or otherol)i8c--v.- <br /> =-lach of-,COun),' <br /> approxi, -of <br /> natelv 1 5 <br /> A <br /> - feyfin le <br /> by `U he <br /> c nrr rl <br /> en or about k'-,c 4m, <br /> z <br /> mss'a the undersigned for app <br /> Cert4 ttat I am thO owner o'the res 13-ys <br /> "Mrk0e.scri:Dec abo.,e in arcordance <br /> the PrOPerty,ora m qual <br /> regulatior's r '-e Q'I'l-leF and agree <br /> sa',Joaqui 'fed to IePleser,-, <br /> Coumy sub, V c <br /> to ilSK-Mon @,.d up::,r, <br /> 'cant <br /> Date <br />