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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Feb. 13 2006 09:55AM P 2 <br /> APPLXCATION FOR ENGROACM .'NrT Pix <br /> Dat* OSSTc$ USX ONLY <br /> To:. Sam JoaQW*+ COUnty JOB # 210-1-1 <br /> Department of public Wotrks APX C!r <br /> =P. - ;oZ41 <br /> V'AY, 1 0<0' 7'O 4il J DAYS= <br /> (Ap?pllS+=t Name? Sx`REETmftgz hff <br /> 1554 h,! FR 10'�T .SC. t CAn Q= .�_ <br /> 5T'L `�'.�T��1 <br /> (City, state, zip code) <br /> (lrea Code - �e�eg3�oae dumber) <br /> Sketch (Detailed Plans 'gay be submitted) <br /> aLn <br /> -t rn Z <br /> _ o<- <br /> Ln <br /> The =(3ersigned hereby applies for permission to,ex6av'ate,` _ox�at� at and/or <br /> heswi.s - roach.=-Q0ms:tyr•Highway Right-of-Wa •ori the ..� s'3dc..af. • •' , I <br /> approximately i e t name <br /> of a , perfoxmting the <br /> 11 wing Ivor , (d�scz'iption of w+crk) : <br /> 1 <br /> wox3� l COUMeACe on or about " i:ox ap <br /> days, p roxi�ma Lely <br /> x, the undersigned Certify, that Z am.the owner of. the respective -Property, or am' <br /> qualified to "Present the 0=er aad agree to do the vioxk described abov,6 im <br /> accordance with the VU1m, Zv9LUa oae'of Sac Joai�l „n county and subject to' <br /> inspection and approvalb •1�•Ob ; <br /> Sig t=e of amlac=-t <br />