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11/21/2006 10:38 4158642522 ED FRENCH PAGE 02 <br /> 11/21/2086 10:33 2094689324 SJC:d PERMIT$ PAGE 02/03 <br /> KPI'LZUTION rOR IMOROAMMU PZRMIT <br /> Date l+'V I� Qr7TCZ VON ONLY <br /> To- San Joagtaiift County ,Top # <br /> bejparttrea,t of PUblio Works Apt; _ CR' #. <br /> IdaG�`a 5 - - VAL~ D i a- TO rsrv��oxx�s <br /> f#ri�sliea t xamae) a IMT c,Heb. W <br /> ARRA Tja= QUAD <br /> (ltadliaq Addreaa() P'bRM9 w„� <br /> (City, mists, $ip Cods) <br /> •? 1 � <br /> (Area Code Tslephfts x(amber) <br /> $ketCh (Detailed plans may be subtnitted) R I �+71►�V7Iv <br /> 3 RNs <br /> 3 X131 <br /> The tzideraigned hereby applies fvr permission .to excatvata, c=struct d/or <br /> 0i;htrwise endroaah i County Xighway Right-of-way pry thb Qww"WIS si,do of <br /> apgroxim eez .� 1 (�_ feet/mile <br /> c! , .� = -- � by performing the <br /> fvllowinq work (description of work) <br /> Work will Commence on or about for approximately <br /> 1 � <br /> days. j�q.�t5 7x317 <br /> r, the undersigned certify that I. am the owner of the respective property; or am <br /> qualified to represent the owner and agree to do the wort deacribed above in <br /> accordance With the rules, regulations of Stasi. JcequiX% County and subject to <br /> inspection and approval. <br /> A—t <br /> gnntili. o! AppliCaH - 'iitl. 4e na e <br /> Ni�.e?t(k:��V�1N^JRL Mian) <br />