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._�•..���'".lam.{�,..!�.�.1.r..�a ._..i._.i.:. �-r1::`I,i�j�`iyF`���-�{:''}{%'�'v j.` i�•..... <br /> !-'•ice ice'i?_�I •'��G.�.,{�•� o .• <br /> D <br /> }I � ? <br /> eIDErt-T-l.:_i'?t p•c .=L=am (_, fliQ�1� C.P, <br /> E X,P. D_M_l E v i l 2 <br /> rro <br /> -r LD <br /> (Mailing -R_ddr9F_s) F QRILIS i.�� r <br /> OUR <br /> (city, State, .Zip Coda) ' <br /> (area. Code - Telephone HuMber)• ' <br /> Sketch (Detailed plans may be submitted) <br /> The -randersigeed hereby appli es for parmi ssior► to.en�aratet construct and/or <br /> othear- ise-encrOach•on • OU-Mty Righway Right-of-WaY=•oa-the <br /> approximately -'eat/Mile <br /> o f , b�r ' e f oz-Lazncr the <br /> fo?low-'ing work description of,work) tZ,Wise nVP r% tCK.u.e . Q0 C' Ue,15 it <br /> afl'ov oc &Ue,­-o Cbo n-I- u Roa&. bt,_-4. Vj 9es v r-FQc,I►a d a;P . <br /> t t� ��v., P. V e_�y�i 'D &A x a a 2 <br /> • G W/060. <br /> _s <br /> Work will commence oa or'about Dek, .7 . 0 i l for approxi mately <br /> bb days. ��.b, ►5 a o j a <br /> I, the =dersigned certify that I am the owner' of. the respectiveproperty, or am <br /> qualified to represent the owner and' agtee to do the•work descril>ed above in , <br /> accordance with. the rules, regulations'of San Joaquin Ca't�nty and svbj ect to <br /> inspection and approval <br /> Pe,G r-7 J 1.1 <br /> Sign.atUre of Xppl4 cant Title Data _. <br /> l <br />