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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEM PBM <br />Omb /U / Z - z 3 <br />To, San Joaquin Coo" <br />Dep" of F'tbic Ylalo <br />T` ' 001111cant Naas) <br />-5LiL>(P eahpm5 �•t <br />cox tj, &V 49-,(, <br />(ab. SW Zip Coda) <br />2A- zlz- v� 5'S <br />Was Code • Twphmw t1~ <br />&4—t p <br />WW Addnaa) <br />K <br />JOB <br />gFFlCE 119E ONLY <br />730052 Rffa _ <br />AFRI <br />D(P. DATE <br />VALE <br />STREETar-� <br />AREA <br />TYPEen�arWo-rk <br />FORM <br />NOTES <br />cR a <br />11 1 2023 TO DMkWAYS <br />five. <br />Escalon quip ' <br />Special Conditions <br />The ha aappfas for c. V b e¢arAe, cantncl MIW oftwi a enr�+aach ap.�_u�ity Mg(hypy <br />the n f� j—' Vi(/Cc� � `1LJ m 7 <br />d C,- - it by perkmnig tla foAowire work (deaalptlan dwW ) <br />commerce on or <br />I, tM undersigned, cw* m Ian reepecbs propeft or an glalibd b repnaernt the owner and agree b <br />work deacrflnad shwa h srrtln and regnietlom of San Jaequun Candy and w6jact b irpecibn ab app <br />/v -I2- z3 <br />Oda <br />