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AUG730-201.9, 11:,?1. From: Ta:2094689324 P.2/3 <br /> APPLICATION FOR MCROAC"HIANT PRRMXT <br /> Date 01 rICa: at31C O2gX.Y <br /> TO; Bari JQRquil: County JADE #���� REF # <br /> Ceparttuant % Publ i.: Works !L'N CA' <br /> f <br /> `— ��kl IQh VAL133 f2 0 <br /> {I►ppxic t Name) STRETTf' l ly bkIS�R9JAY8: <br /> r <br /> a t <br /> Mailing Addsoas) FORMS - <br /> L_ �A q PzQz(o NOT$ <br /> (Cityp state., ZIP code) OF <br /> (!►rea Cada - zaloplmns Ruzabor) ---�•.� <br /> Sketch Oetailed plana may be gubmitted) <br /> atta ,tom rnO-P <br /> The undsro;LgLned hereby :pp118S L'or p.;rmlEslon to excav'at'e eo,wiruet and/or• <br /> otnexwi,se enazoach on County Rigawa3Y Right-Of-ray on the Bide of <br /> epproxxm:ately feet jmiLe <br /> of by'per4ming the <br /> following work (des Criptioz�f 'Pork) : Q, � man <br /> gua <br /> Work will oamm.nce r,.� o r ab it +� <br /> —�-"''`�' � L0 <br /> _•�—�, days <br /> T, the undernionud certify ',hdt x am tit c)w,4xa: ria aeo.i►c props-=Y, <br /> guallf;Lcd to repreeent th% owner and agree %o r1u ,-h» work deocribed abevc in <br /> a0covdanca with the sZ11CO, srogw'.ztionO of Baas ,'e*quin County and svbytcj to <br /> Sneppctip7i <br /> �+�3atr'Q P,r,Ad DarsotV�a:. <br /> GL <br /> ��•dp'� . <br /> C -:Y•Ati. --'•.•••• <br /> ldate <br /> �nasco, set�uF�o¢, i/o - <br /> i <br /> 2/2'd b22689b602:01 :woad tit:60 2TO2-90-d3S <br />