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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date <br />To: San JDVA County <br />D �Pubic Wall <br />(ApPOWIll No/w) \\ <br />(Mae) <br />mar k GSA 4 <br />(City'. Stft 9p Cont) <br />Zo`1 Zl2- 53 <br />(Area Coda • Tetaphom Nu ) <br />(Emelt AWnW) <br />JOB <br />730052 REF — <br />CRe <br />APN <br />_�-- — <br />EXP. DATE <br />VALID <br />�To 4/j/90241 <br />/1/7maS7REtT <br />SIKLM <br />Libaa Rri <br />AREA <br />Ladwfor DUAD —U -F -- <br />TYPE <br />FDRMS <br />NOTES <br />,. <br />Sketch (DaWW may suGmitm) <br />ti <br />1n <br />9� CL <br />DRIVEWAYS <br />Work wfi conmerce on or after — '2 M�pmvnaleh' � ' <br />I, the undaslgned, certify that I am respecM poperty, at am qualified to reorient the owner and agree to do the <br />work desorW adore N acro With and regulations of Sen Joaquin County and subject to uspectim and approval. <br />met . Ta, . 1= 090 <br />