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APPLIGA.TIOM FOR ENCROACHMENT PERMIT <br />PLEASE PRINT. <br />Date <br />—10: San Joaquin County <br />Department of Publfc Works <br />(Applt�ani}U�srte) <br />F�Doa E. Lfi FaY,E—:I,{ ST <br />(Niaftin�Addre��) . <br />(amity, State, Zip Code) <br />%ao 1 11 toY --�- 3 I I <br />(Area Leda- Telephone Number) <br />r <br />h (Detailed pians may bestiWdod) <br />1\85H : <br />JOBr <br />APN <br />FXP.DATE202/10/8 <br />VALID <br />SIREET <br />OFFICE USE ONLY <br />730077 REFS <br />CR# <br />0 <br />5/21/202o TO',$/01/2020 DRIVEWAYS:' <br />ROOSFVE1 T ST' <br />AREA <br />TYPE <br />FORMS <br />NOTE& <br />STKN QUAD NS <br />BELL HOLE - <br />SS/WW R-297 Trench Cut Policy <br />';PF(- CMQITIC)NS ' <br />V <br />The Undersigned hereby applies for emiissionfoexcaua(,cgnsirucfa dlarofhernisee croachonCounfytifgb Rigb�osWaydn <br />the f �sldeof sea+e\a' �— apprQrimate[y 2`� `� fee mile0.5�, <br />oz yen �r i f II? byporfamlh9 ihefollowing work os#f(on of work): <br />Workwi4 cgmMenc� on oraboufi � forapproximately days, <br />L the undersigned, cettffyfhatt am the owner oftherespocfivo property, oram quaiffiod to represontthe owner and agrosfo dp ihe- . . <br />Work ddsc ibed above in the ru(esandrequ(afionsn`f San Joaquin Coanjy and su6jecffo inspeetbh and approval. <br />al�rsatrsre �App4Ualrt Ti4ia Nate <br />UCEtjl7WyHtt7C�61C1&i1CAL1H1&SV.WAMAASIE9PSlqlCR0pCMIE1ifPEAM1iIfIWPIlCA110N00C �P1113J <br />