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RLEAQ= PAIN% <br />Data <br />lo: San Joaquin County <br />departmVnt of P�ubIloo Works <br />C�.1✓nIl)r A VV 7l i £)(JUKLE <br />(Applicant Naito) <br />1�.�Hr-f�tilEfi•t,. ST <br />(Mrailiiig ddbess) , <br />(pity, state, Gip Code) <br />de jA ma Code = Telephone Number) <br />Rqq <br />OFFICE USE ONLY <br />APPLICATION <br />FOR ENCROACHMENT <br />PERMIT <br />RLEAQ= PAIN% <br />Data <br />lo: San Joaquin County <br />departmVnt of P�ubIloo Works <br />C�.1✓nIl)r A VV 7l i £)(JUKLE <br />(Applicant Naito) <br />1�.�Hr-f�tilEfi•t,. ST <br />(Mrailiiig ddbess) , <br />(pity, state, Gip Code) <br />de jA ma Code = Telephone Number) <br />Rqq <br />The undersignedherebyappResfar entijjssiontoexcavafe,cQnstructaittlforofheiwlsoonoroashanGountyWig Right of-Wa on . <br />fire 1 sideot j2dP.�1 R�� approximately, 25$ fee mi(e <br />of �p n i nr� J2 by performing thefollowing work caption of world: <br />WCd<will commence on orabcut forapproximately days. <br />I, the undersigned, certify thatI am the owner of the respective pmpetty, oram qualified to represent the ownerand agree to do•lho- <br />work described above in accordance with the miss and regulations of San Joaquin County and subjeotta inspection and approval. <br />9-2o�q. <br />i10ENIiWSkRVIOF.yttig(dpl�Fil&qV.WnYNSletPb4Ngt0ACIWflRPfMVfP}%1CAThNIWO �a9f13J <br />OFFICE USE ONLY <br />JOB# <br />REF# <br />APN <br />_ <br />CRO <br />EXP, DATE <br />VALID <br />12MIT6* y <br />b Zo DRIVEWAYS: <br />STREET <br />!' <br />1499>4C4 <br />AREA <br />UAD <br />TYPE <br />,,^neer <br />�Z <br />FORMS <br />✓ L <br />✓ e x� <br />NOTES <br />_. <br />The undersignedherebyappResfar entijjssiontoexcavafe,cQnstructaittlforofheiwlsoonoroashanGountyWig Right of-Wa on . <br />fire 1 sideot j2dP.�1 R�� approximately, 25$ fee mi(e <br />of �p n i nr� J2 by performing thefollowing work caption of world: <br />WCd<will commence on orabcut forapproximately days. <br />I, the undersigned, certify thatI am the owner of the respective pmpetty, oram qualified to represent the ownerand agree to do•lho- <br />work described above in accordance with the miss and regulations of San Joaquin County and subjeotta inspection and approval. <br />9-2o�q. <br />i10ENIiWSkRVIOF.yttig(dpl�Fil&qV.WnYNSletPb4Ngt0ACIWflRPfMVfP}%1CAThNIWO �a9f13J <br />