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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 <br /> Aug. _� <br /> ug. 200' 11:17AM P 2 <br /> xppxcAxxarr FoyrconcT pExT <br /> PLE34SE p g2,7�- ' <br /> Date V � _ <br /> OFFICE tTsB ONLY <br /> To: San JoaclUin County <br /> �extt of ?public woxks JOB 7�oc�'?'� REQ, � <br /> ALO C� W. :D= I I `VALM # <br /> 1�41f�. STARRA <br /> RMT <br /> Mailing Addr•eas) TYPE --•- <br /> FORM <br /> (Cita.. Sbaato, -up code) <br /> _ C ` <br /> (Area Code Te10Vh=e Humber). <br /> Sketch (JDetaLiled plauns may be six�mitted) <br /> The undo <br /> r'signed hereby applies for <br /> otheZWise-encroac ,on •Counth3t�ertaission to.e�xratrate, construct and/or <br /> . ' y,�,g)�y Right-of-�•y'+'oa•the Q • ' <br /> ref ldde'RCTof . <br /> • ---_.___ �,3e " <br /> foilowir7�q work (descraptaou of;work :+ by perf0 <br /> t1 ) ` the <br /> WOrk 3. Oc=ence 021 or about y ••,. <br /> l� days. _a for aPPxcximately <br /> the undersigz2ed certif <br /> qualified to re res Y. that x am the OW3:ker. of,the respective -property' <br /> P ent the owner and agree to do , or am <br /> ,accordance With the rules r the viork descried ,above in <br /> inspection and a regulations Sari Joiquin county and stabject to <br /> PP�vaI.• �tp"�3�'�� � . <br /> sigsiatute oiG �P��caat - Title <br /> �► t.Arlra�sc�aox is/oo3 Date <br />