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;�P �� ,'1'lUiy FOR 1 i1 -'Rt? .GII!�!',NT PEI�1�IT <br /> PLEtUSE PRINT: <br /> err<IcE usE' ONLY <br /> Date JOB # REFH ' <br /> APN - - CRV# /�� <br /> To: San Joaquin County Ilighway Department. ESP. DATE /0 5/ S"— DRIVEWAYS: <br /> Cenex, Inc. brr1LDD /D S' -T <br /> c/o AA Production Services, Inc. STREET �wSsZ �s.-- `—`' moo, <br /> (,,ti,pplicant Mame) AREA�9 -QUAD <br /> TYPE_ <br /> P. O.Box 517 FoR is S S J� ' Z y <br /> (h,,-jiLing Address) NOTE <br /> Rio Vista, CA 94571 <br /> (City, State Zip Code) <br /> (707) 374-2617 <br /> (Arca Code -Tclephone Number) <br /> Sketch(De♦w.:led p1.ss:lay be.5ubr..ittVC) <br /> The undersigned hereby applies for permission to e:-caya#e, construct and/or otherwise encroach on County <br /> Highway Right-of-Way on thecrossing f Mathews Road approximately <br /> 3380 feet / West of wolf Road -, . , by performing t <br /> following work: (description of Nvork): <br /> Install four inch welded steel natural' as pipeline by directional <br /> boring <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County <br /> Ntghway Right-Of V,%ay On the crossing x�t Roberts Road approximately <br /> , ,by performing l <br /> 1150 feet �' North of Bowman <br /> following work: (description of work <br /> Install four inch welded steel natural acs pipeline— <br /> following <br /> by directional boring, <br /> The undersigned hereby applies fun <br /> or permission to excatiate, construct and/or otherwise encroach ono Ctty <br /> E;�Nyay_► tght-Of-V�ay on thecrossincr �42dffif -Mathews Road <br /> FP <br /> X380 of �.,a, F nnaA by performing t <br /> feet ix west <br /> following work: (description of Nvork): <br /> Install four inch welded steel natural as i line b directional <br /> fora roximaicly� days. <br /> Work N%zll commence on or zbout Cc'+nhPr �, 199 pp <br /> ed resent the owner <br /> I the undersiMed certify ih::t I am the o',h er Of the rest dive property, or and oil to represent <br /> ;� ee to do the work Jescnbed above in lccvrdlnce..with the rules, regulations of S;ui Joaquin County and subj <br /> to inspection and approvll. <br /> 10/3/95 <br /> �IGNATL-RE AFAPPLIC.- 'T - TITLE DATE <br />