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----' <br /> _� i I _ _ <br /> t� k ' <br /> P 'r�# k. <br /> f <br /> APPL(CA 'i0N FQI ENGRQACNMENT PERMIT <br /> I ,« <br /> W <br /> PLEASE PRINT: <br /> - I .. - j . I I � . - <br /> Da#e Z/�f �j1. OFFICE1.USE ONLY', <br /> '* F <br /> To: San Joaquin County • JOB� .2 RE �#.:. <br /> I Departmer3t bf Public N.lork51. <br /> IiPN CR ff _ <br /> /- <br /> �- 1. Exp DATE _ , <br /> µ P CJ cEa— VA!1.(D.. 1 l' �RiVEWAYS <br /> ' (Applicant Named STREET C)u - <br /> �! L Af2PE QUAD <br /> � u fZfZ x �� TY � ���;n,,,c: I <br /> :: <br /> �Nlailirtg Address FRMS <br /> 4 <br /> _G f� MOTES <br /> V. �� <br /> �' (�It�/,.State; i� Ode) . , <br /> , .. . 1. - - <br /> ) / ',­ .. <br /> I .6 )/ .. �— - . . . .. � . . —� — I.— -_;. . �� , I �! , 4 — �, .1 ,. . . : <br /> 11 (Area taade Telephone Number)' <br /> Skefcii�Defaiied plans may be submifted) <br /> } - i <br /> _ .- r� S. - <br /> . — a <br /> jj - <br /> _5#f g�7L7 :,--m. 2. .." _ ....� �._ <br /> 1 L- �� J ` `4� .v; <br /> Ir i. <br /> _ % ,, <br /> r,.1 <br /> J��.. -.-.r:r /Ve.....,.,I .��I.;11 �- P/r , . C <br /> - / <br /> € _ i <br /> 7- <br /> �: <br /> ' _ � <br /> S .. Y - <br /> ,...n� 11 ' Tha undersigned hereby.ap lies:'for ermission to eXcavate construcf and of otherwise encro ch on.tou i1. - <br /> ::I <br /> P P -, ! a . my N gh�►ayght=af WL.ay on <br /> MMk the side of .approximately - f�emr.�le <br /> of L. ,b ecfor` m thefof,ovtim viork d cr! tlon,fl w1.ork,` <br /> Yp 9 _/ 9 P f ) <br /> �. r .. , ' rF i n elJslrl G � r^���r i 1 �G� ' �� [ fs,r <br /> " v.. <br /> T `rir�r 77 .�'� /0-. >'e��rr�.�c- ��. Qre rc[ c:: .� r Z/ � '7l%l-g/4 <br /> Z� <br /> . - <br /> % <br /> .. <br /> -_ ,. <br /> ' <br /> UUork w!!i'commenc 'on or abaft I 'nfar approximat_lyD days <br /> _ . T:. r. <br /> !,tine unde1.rsigned;ueriiy tha#!am the ov�ner of the res ective ro'- ;Dram. iialmed.to re resent Itis ovrner an -a agree to 66'%6 . <br /> P .R P Y g.. P g <br /> v�lork1.described a ove in accordance 0th the fules and.regulations'of San Joaquin_C:-- , -is li ctIo inspection and approval" <br /> r . I+p - r ' . . . :,---.. -� .: .�� A L -!,: - 'i r�.:, <br /> 1. - <br /> s. <br /> ��. A�/r3 W- � ,� �. <br /> �. <br /> ' Signatu� of APPhcartt `Title Qate.. <br /> .. <br /> q=P' L. E;J&SJ:W}-IftT'e=,PE'l_li,..fi".1AMA:-1TlEiA�f11PP.Ip11Ct1tr3C pjrjkj:. . _ <br /> .. <br /> 1 _ . <br /> I. <br /> 1 , I I .i <br /> I , t <br /> �b <br /> 11E I,,,,. <br />