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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jul. 27 2006 02:41PM P 5 <br /> Appy+ICATIOU FOR 3XCR0AC043'3T <br /> CFFxCZ USN o1VY <br /> Date , <br /> SOB # 3 REP <br /> To: Say, '70ao tY APN <br /> Depa,rtment of pub .ic Worktt <br /> P.Xp. <br /> (ApV1:L*ant Nama) $TFEARFA <br /> vi;;;(Mailing Address) Ws <br /> (City, 5tate, •zip code) <br /> (Area Code - Teleph=a Number), <br /> sketch (Detailed plans may be submitted) <br /> The undersfgxeed hereby.app3:i.ea for pertni,ssia:a to.excavate, co at xct aad/ox , <br /> of rause•a= oach•on co=by gighway Right-of-wa ..Q .the �••-0 <br /> l'1 approximately f t aril`s <br /> by el-$ g the <br /> of _ . <br /> followizig wa,k (description of Work) <br /> work will connance on or'about for appxoxitttateZ,y <br /> hays. ' <br /> 1, the undersigned certify that x am the owner of the respective property, or am <br /> qualified to represent the owner and agree to do the arork desczj,bed above in . <br /> accordance with the rules, regulations'of Sari aoa4p; n county and subject to <br /> inspection and approval.Oq�c'�`'l�b <br /> DACe <br /> Signature of Applicant\- Title <br /> o010YlR.P�1RW%'1mi ti/00) . . <br />