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mac- l—:i,1'_i_— <br /> To: S`a-2 zG3CO-mty J�Jb �c7G/[/ ;77 7r:;F:• i <br /> d i <br /> `�' <br /> 'i <br /> � F e r �.- <br /> �.b��r. A VQD?\lA_ Uk / � �. �1��` ' Ve s� e i61L 'L a .b t�—egg LLS <br /> ( ppli cwt 'tee) <br /> STREET 5fl <br /> • (�.�li.�:g �e��_ass) r QZ'��SS <br /> ri0c <br /> (City, Code) <br /> lzVk c W�A ~%11!� <br /> (area Code - ` alaphans Er)• <br /> Skeitcbs (Detailed plans may be siabmi.tted) <br /> `the F:ndersigaed hereby zpplies for permission to.erca te, construct 'and/or <br /> otherwise-encroach•an •Couinty•8ighway Right-os-Way=•oa-the <br /> approximately =eat/mile. <br /> of by oar€oz-Ln!+'Q the <br /> fOJJDunng Work (description of;work) : 24_.�SP t�e6`Ia4.aL� o4�e Ja��ie � i� yav 1�uS' <br /> Cc ucA 4- F� 1 a x 2Ti3r�(I� nI� ��2, a 4e- ya(ue_ <br /> De- rAte L ��I�e •,f,e eutLe., <br /> IJ <br /> Work sail], omrnence on or'aibout for approxiMately <br /> days. <br /> I, the undersigned certify: that I am the owner* of, the xespeetIva -property, or an <br /> anal if ied to represent the: owner and' agree to do the work described above in , <br /> accordance with the axles, regulation-s'of San LToaq�s n county and subject to <br /> .inspection and a=pproval <br /> it Z_ <br /> Signature of Applicant °r`itle Vats <br /> ,€�c'*3X.PS\YESS®L (6/00) .• �,� <br />