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APPL1 .A T IOM FOR 1ENCROACHM I' PERMIT <br /> PLEASE PRINT': <br /> OFFICE USE ONLY <br /> Date July 10, 1995 JOE # REF{{ <br /> IAPN - - _ CRV# l c ¢52 -0 <br /> To: San Joaquin County Highway Department. EXP. DATE Z&> <br /> VALID eO DRIVEWAYS: <br /> U-Haul Company of Fresno STREET /GSDA/ <br /> (Applicant Name) AREA QUAD ,V I <br /> �a�v�ra�,v G WIGGs <br /> 749 N. Blackstone Avenue TYPETYPEFORMS w w <br /> (Mailing Address) NOTE <br /> Fresno, CA 93701 <br /> (City, Stale Zip Code) <br /> (209) 487-1723 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans raay be submitted) <br /> Monitoring Wells (MW-7 & MW-9) at U-Haul Center #709-50, 2701 N...Wilson Way, -Stockton <br /> CA, 95205 <br /> SEE ATTACH® DETAILED PLANS. <br /> The undersigned hereby applies for permission to excavate, construct aL/or otherwise encroach on County <br /> I-N.ighway Right-of-Way on the southeast side.of Nnrth w;i scut aapproximately <br /> feet /mile of See Detailed Plans , by performing the <br /> following work: (description of work): Installation of Groundl.Water Monitoring Wells <br /> Work will commence on or about O D for approximately 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 the work desex bed above in accordance with the rules,regulations of San Joaquin County and subject <br /> to ins t' ndaova . v)6 <br /> CSI PLICAiNT - TInE DATE <br /> J ' <br />