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FEB-08-2006 19:13 SBC TONY KOBLISKR DIST OF 209 544 9499 r.W2102 <br /> APPLXCATXON' FOR INCROACMdLM PFAMIT <br /> P.163ME PRINT: <br /> Date oFF=CE USE OHLY <br /> To; San Joaquin County JOE -73 REF #. <br /> Oep"l.tucu4 Of Public Works APN CR # <br /> Q AA <br /> EXP- DA All 0(0 <br /> �/✓4 VALID a Ib TO (0 DR*Va( TS: <br /> (aPpli.cant Drama) STREET <br /> O AiG o!W lb ARBA <br /> TYPE 5 <br /> (Eta311uff Adoxess) <br /> (City, Sfast®, Lip Code) - <br /> 19(1/3 411995" <br /> (Areas Cobs - Telephone X=qr) <br /> O <br /> Sketch (Detailed p1 rrso may by Buba$.ttod) Pot& A +I D <br /> gttrr� rrr PIT' gx� ri�fS' Per � 15 z <br /> aso' ��' ono <br /> 0C <br /> C-) <br /> n ty! <br /> a � <br /> i <br /> VJoo�7$iti> RD• x -4 <br /> The undersigned Hereby applies for permission to excavate, co itt and/or <br /> at airise encr ch on un y Highway Right- <br /> V-01 � � e d <br /> oximatel �/ ! mi,4e L <br /> of _ ` pet#oaCa ing the <br /> f 1�Qxi work (description of,w rk) ; <br /> 1 A <br /> Work will cowtme=6 an or about O for approximately <br /> days. <br /> If the undersigned certii:y that Z am the omen of the respective Propertyi or ase <br /> qualified to represent the owner and agree to do the work described aLbove in � <br /> uCcorderleP with the rtLlca, regulAeioa= of DeA Joaquin CO=L.y and aubJuct tC � <br /> itsapeytion and appr9val <br /> can � Tit <br /> I <br /> ,waToa-ealrwr�, cc/oot <br /> TOTRL P.02 <br />