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� r <br /> APPA-ATION FOR ENCROACIA T PER►NTIT <br /> PLEASE PRINT: <br /> OFFICE USE ONLY <br /> Date /,?- /8- 9S IJOBO 7305- 1 REFN <br /> AP\ - <br /> To: San Joaquin County Highway Department. EXP. DATE 7 / DRIVEWAYS: { <br /> AREALi,v-r�Ai A4/ ' <br /> CONTEL OF CALIFORNIA 'TYPE Ab.ef <br /> (Applicant dame) FORMS ss 6j&j <br /> 430 W. CEi/TEP' Sr <br /> NOTE <br /> (lt:tiling <br /> Address) <br /> MANTECA. CA. 95335 <br /> (City, State Zip Code) <br /> (Z09) Z3°IO zG5 <br /> (area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted): <br /> F►Z A l f Com.. �D <br /> O ro s 13 ' <br /> � p � qn , <br /> s <br /> C <br /> LDDC' EXISTIN(:D a llP-I ED <br /> ELE �a,DN E`` - r.,.. { IJ 7 D <br /> J � <br /> J T <br /> V , <br /> { <br /> f <br /> The undersigned hereby applies for permission to excavate, construct and i or otherwise encroach on County <br /> Flizhwav Right-of-Way on the 4�CZSS 4E qZi&—)Z /Z O approximately <br /> 6-975 feet / e L,►}C�f ;_,L C73 T� ►' . 1::; ,by performing th <br /> rollowi= work: (description of work): O�Z� 3 E'�v t�T?-! /� 4)"q 06C F <br /> Z" ��yC .�Oe-:, / Gdi,_: <br /> L o p � �',k r �' 7'-�N G .�C/�I'�?� iZ-'Z E`!,i'�•"Jov C- G��'C'��"",�7� �r��-"'�� <br /> Rork will commence on or about -1702 74, 1595 for approximately -F 6 days. <br /> i the undersirmed mnifV that I am the owner of the respective property, or am qualified to represent the owner a� <br /> armee to do the work described above in accordance with the rules, regulations of San Joaquin County and sub-le. <br /> to inspection and approval. <br /> nn <br /> /a - /S-'4s <br /> :Tr,%, a p OF appt TC a-N- 7 - TITLE D.�. <br />