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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 3 1 b 1 I `l <br />To: San Joaquin County <br />Department of Public Works <br />Dai 13 Webb FI,�� <br />(Applicant Name) <br />I lO $0 f -o an M . <br />'JUailing Address) <br />Sav< TOS C,� CA, <br />(City, State, Zip Code) <br />(Ifoq� 5q0 -0s--22 <br />(Area Code - Telephone Number) <br />Fs_ t4D08,30 <br />OFFICE USE ONLY <br />JOB # IOU REF # <br />APN CR # <br />EXP.DATE <br />VALID TO DRIVEWAYS: <br />STREET Palters Pass Rd <br />AREA QUAD 54/ <br />TYPE <br />FORMS <br />NOTES <br />Sketch (Detailed plans may be submitted) <br />5i <br />