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APPLICATION FOR ENCROACHMENT PERVAIT <br /> I <br /> PLEASE <br /> lr€ a-: <br /> P5- 1 40ZS y <br /> Date OFFICE USE ONLY <br /> ii o: San,3o2quin County i JOB# REr= <br /> epartm'ent of rPublic';Nwks ,APN CR# <br /> EXP.DATE -3 r r <br /> VALID �- J , TO r(] 3 1 ....__. DR1VENAYS l <br /> — <br /> (Applicant Na L) STREET <br /> AREA L i q,(-e e 1 CUAD <br /> TYPE - <br /> FORMS <br /> NOTES <br /> (City,State,Zip Code) <br /> i <br /> .Area Cede-TelephDnie ftm- ber$ <br /> _.__. _ ........_ r..... <br /> _ f <br /> Sketch(Ga"aiied pais may be submitted') _._. <br /> I <br /> r <br /> 1 � <br /> ri <br /> The undersigned^ereby app les for permission to excavate,ccnstuct andicr otherMse encroach on County Nighxay might-of V'1 ay on <br /> the side of apprexirnatefy feetimile <br /> of - by perform;ng the gsllamng work descripkn c wcrX): <br /> -E,il «i,, <br /> `a2m,sa&108- 1RCHM U-^ r' ryH CC3a1,Ci7I Ch' c-1C ��- c�'� int:'e..(' uC��",. .0t i u "1�:n r r t.t?�°C3 v( .e,•�-..°,`ytiF <br /> X110 :;'UL'"2,031"s -';ILL- Sr—::L-)Q aZ 1.D <br /> .r9lncsrti •1.� 111 <br /> _..U J"`�..-wn✓,,-.iw�L�.:�v�'�r�Il"v3 '�'V�:�f.3+� :.�,ti,�,.ate' .�.,,:..n��u.L ?t`-�U.7:.4 �_'�c u'_'.1��.taa":`1���_L,�.4^�Lath D'V_v. <br /> 9 c' mr,!tnn—v99� <br /> v��.U?•Fu3�?:=�a a`'`�-_�",-:r.�-�,.ti,_. � r_, 4..-. .:1�.r ..._..� .. �. :v-yam ti<,:..u•��C.a*:r. 6�� W... }� ---_.._.. <br /> +�'��� ul'u u u J4 uf4....�aatiJwu'4 <br /> G JOSS--'0443674.L-3.a'--aS S US LL cI0fM22 o'ELM ID,1-:0���i� �•�3}:r,IL'��R •^bra•�?G^as �^ �1�a.-,.. ... _. ._.. <br /> 4 rk w---i l Ammer ce on or about for apnrcx§matehj <br /> I,f e undersigne1J,certify that i;am ti*.oviner of the respective property,cr am aualit ed to represent the awner and agree to do the <br /> 1A,ork described above in accordance with the rules and reau ations of San Joaquin Co=unty,and sutr ectto inspection and approval. <br /> r 11r rci e— r r ;tel 01 <br /> 5rgnatof Applicant-Tette � Cr1'Y�1 n , �,��C�1�C.}r Hate <br /> k'iJ4,�„-13'-;:iK-tu:?:tY['-: <br />