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'Permit Rider Page l of 1 <br /> STATE OF CALIFORNIA-DEPARTMENT OF TRANSPORTATION Collected By Permit No.(Original) <br /> ENCROACHMENT PERMIT RIDER <br /> TR-0122(REV.611999) B. Tamae 10-13-6-TK-0409 <br /> Rider Fee Paid Dist/Co/Rte/PM <br /> 02.00 10-SJ-580 PM 13.698 <br /> Date Rider Number <br /> 02/20/2014 10-14-6-RT-0100 <br /> TO: <br /> ARCADIS-US <br /> 950 Glenn Drive <br /> Folsom, CA 95670 <br /> 916-985-2079 x18 <br /> PERMITTEE <br /> In compliance with(your,sur). February 11, 201 <br /> equest of we are hereby a.Bei dirty t..e above numbered <br /> encroachment permit as follows: DATE <br /> Date of completion extended to: NO CHANGE ® February 28, 2015 <br /> DATE <br /> This Rider has been issued for time extension. <br /> Except as amended,all other terms and provisions of the original permit shall remain in effect. <br /> COPIES TO: APPROVED: <br /> Original-Permittee <br /> 2-Joseph A Valdez <br /> 1-Maintenance Amadeet Benipal,Acting,Acting District 10 Director <br /> 1-file BY: <br /> 1-PIO <br /> Nelson 4sa Permit Engineer <br /> FM 91 1437(D10 Permit App) <br /> http://capl.dot.ca.gov/epertnitibin/,Drint—rider.plip 2/20/2014 <br />