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10/10/2006 14:43 2094689324 SJCQ PERMITS PAGE 01/02 <br /> APPLICATION,FOR ENCRO.AkMUM ' pp"IT <br /> PT HUN PRINT; <br /> Date IO',/. / /e) OgB'tC : II9E 07C <br /> Tb: Ban. Joacl.0 County "JOB # Awl 'REF # <br /> Department of Public Works / \ Ake CR <br /> H". DATE <br /> VALlb Tp - DRZVMMYS <br /> �,qT <br /> (Applicant Lvame) _�uP� sTRAETY' 9� <br /> PARcEe �.v-�-2 k:, ARBA CLEHE (2VAp ._ w <br /> T'Y'PE �l.DStI <br /> A (Wlimg Address) 1ioRMg, <br /> NOTE . <br /> City'. abate;Yip Code) <br /> 2 v 9 --- 772--43210 / <br /> (Azea Code - Telephone umber) <br /> 8ketcb, (Di3t,ailed plans may be submitted) <br /> ;�u4G�., 0. <br /> CJ /9 e) — R� CIUS rr,O O� <br /> Glu e �b.c��S440s" A_";N � F",��,�. No' <br /> • 7fz4491 e- &e v C i �.�1 �-- .��•e u,��y i� awl <br /> 4�4 Aemv- 8`oCi� iia . �'/V 4 c. 8a ar►+ . <br /> 7P6 undermigmed hereby applies For permission to.eBCaVAte, construct and/or <br /> otb�eswi sa roa on••CmmW-Highway X dight-Of' •the DGI'T?!L,'•, s da'•_�f <br /> QST .e RrQ approximately ! / <br /> cf t Gu y �.e� feet/ "/cG�! /•UfP.�sa_,4 <br /> folZocvi work ( scrip ionof;work) . by',pexfo in the <br /> e <br /> /V' <br /> i c. ALU ••s�. ti _,� • , <br /> 1Pork will ,commenrae on or'about li' <br /> days. fox approximatesly <br /> X" the =dergig ned bertify, that T am' the .owner Of,tb�e respective property, or .'am <br /> accoqualrdancfiede <br /> w th theeat tha om6 r anfl••agree* to do'.the 'work desaribed above in ; <br /> acco�rdauae vra.�h the roues► re3ulatione'of Ssx> Joaqu n•d6 u t- and subject to <br /> i:aspeCti a�xd approval. <br /> �u. . <br /> • 10�� • dG <br /> signature of AP 1a Tit3. <br /> Date <br /> �hran.tRq\r�a�mn tF/nnf . <br /> y i <br />