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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jan. 01 2000 05:43AM P 2 <br /> • p5�C°?i�a'WG3a� �O,ti �!~�Z{��2C'� � a��I�` <br /> Date —6. -kL �-d E } os?FIC!EC V83 obl,TAT <br /> Tot Sam ,7oaT4.n county JOS � ! 4C}°,7� }fir � <br /> Oepartm at of Public Works <br /> M. <br /> VALID- $�A <br /> r YS <br /> (Applicant Name) S;� �" '9�w- � <br /> TYPE Orlc(mailing Iddseas) FORM _ <br /> (City, State, .Zip Cods) <br /> (Area Code - Telephone, Xtuber), <br /> Sketch (Detailed plans mcay ba su mdtted) <br /> Tie rmder••sigaed hereby applies for permission to.�xcavate, tract and/ox <br /> othexwa.se-Ase •Countyxighway Right-of-wayt•oa•the -w+ -• ^ <br /> L.a�e [)p U 4r approximately r fee tmi�lg . <br /> Of Y''pw.fo=ina the <br /> following work (aescraptian of.work) <br /> Work tgili comt .aae oa <br /> or, t 4 for appxoxitnately <br /> Lo� days.•• • <br /> 2, the uzzdearsignad.certify. tit I era the dtvaex' of,trespective •property, or am <br /> li <br /> quafied to represe� the omen ard'agree to dhe o the work described above in <br /> accordance with the rules, regtalatiow'of Sass To&g4n'C6=ty and stab j ect to <br /> inspection and approval. <br /> Sigmature of Applicant _ Title I <br /> 37E1� <br />