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PLE.A-SE PRENT: <br /> Date 3-23-95 OTSE ONLY <br /> JOB # ,7-3� G ( REFr <br /> To: San Joaquin County <br /> APN - - CRV� <br /> Highway Department. gyp, DATE <br /> VALID /s' ss'TO G 3 a �s` DRIVEWAYS: <br /> Pacific Bell <br /> STREET C� <br /> (Applicant Name) AREA G.✓ QUAD S <br /> _. TYPE T,eE,vc x <br /> 44 W . Yokuts Avenue FORMS <br /> (Mailing Address) NOTE <br /> Stockton , CA. 95207 <br /> (City, State Zip Code) <br /> ( 209) 474-4732 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> SEE ATTACHED SKETCH -t C- <br /> When billing please refer to Pacific Bell Job ';U241027 <br /> c <br /> - Report Code - 4C tZl <br /> S T K R E C`� CO < <br /> x m <br /> cn 4 <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County <br /> Hriglway Right-of-Way on the side of ,,a t h e w s Road appro,iinaly <br /> 120 jeet /Mile E/O of Wolfe Road ,performing the <br /> following work: (description of work): Place 18 0 feet of 1-4 " conduit as shown on <br /> attached sketch . <br /> y_. <br /> Work will commence on or about 4-15- s for approximately 6 o days, <br /> :. I the undersigned certify that I am the owner of the respective property, or am qualified to represent the owner and <br /> agree to do the work descnbed above in accordance with the rules,regulations of San Joaquin County and subject <br /> to inspection and appy "'al. <br /> IGNATt,�E OF APPLICANT - TITLE <br /> DATE <br />