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NOV-06-2006 14:58 From: To:2094689324 P.2/3 <br /> APPj,XCATTOb? FOR pMOAMM P9MT <br /> lungs .2r\ <br /> bate � i "` � Oppl�l ad�c OXY <br /> Tot pees► doaqulm County xQD iix dJ�/-� RHV <br /> Depaxtmaut 'of pali.a worka AM <br /> MCP. DATE <br /> VU= IZ•4-fid— TO. (•a -A7 AASti89�7��9a <br /> (ApplLOAnt paw) iITMT <br /> AM <br /> (Kaiifto ser) MOMNOT <br /> �) <br /> �J915-3,34V <br /> (City, 8bata, rip COW - <br /> I roa code - TelophMe !lumber) <br /> Sketch Motai.led 'Logo may be sum nitted) „ <br /> %iie undersigned hereby applieo for perMission to axosvate,,gc fiat And,/or <br /> ot�lerft amax ah ola-Zotmbp Highway Right-Of-II Ori-the N L -.M sido'ef . <br /> _ „dun '. ^j approximately &e o ' feet/mile <br /> of ' Y VGT2q g <br /> wth <br /> �a�� iptiof <br /> l!TN dT� 7Z ,,. <br /> �"+tZLa r,4 <br /> P-CL A <br /> Work will cdmmonae = or abMt i'Ox e�xaaeitnateZy <br /> -_. days. <br /> 1, thO utd*V6i9U0d dertify that l yam the owner of tha reopeative property, or Am <br /> gUAlified to represent the owtmr and agree to do the W09k 400=00ed above in , <br /> aaoordeftmae wItb the rules, regulations of san soagv4m ;pO=ty snd aubjadt: to <br /> imapaation and tova�l. <br /> s urs of Agpli,oaat - Title Cate <br /> lII�mYC� l6/avl , M • k"� <br />