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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Jan. 29 2006 03:03PM P 2 <br /> AppLTdATIOK FOR ENCROAC 'MWT <br /> OV dS8'Z 'OSX ony <br /> Date <br /> X708 # O �� <br /> To: San aoaquiA County :8xPjrDAT=Z <br /> r_ CIZ — <br /> Department of lKiblic Works\N A�CLR S C S A l moa a D z xys: <br /> (l�ppliaa+at Naaae) STRXETAM _jn&j2b_t4 <br /> TYPx <br /> (vailimg Address) FORS <br /> 1�T4TE <br /> (City, State"Zip Code) <br /> (Area cedes - T'elophore Slumber). <br /> Sketch (Detailed plans. May be submitted) ' <br /> rsa ed hereb a pl,iejs £07C periaiSsiOxt to ,eyCCAvB$e, COmst Tc <br /> and/or <br /> Tka undo i y ! aidd,.-bf <br /> othe ise•en oach-on county.ffighway Might-of-Way••oni he <br /> approximately ee erfortai the <br /> of , »: <br /> ollowin' -war (de;scri tion of work) ; <br /> WOrN w' 1 commence on or'about for tepproximately <br /> dayg. <br /> X, the undersigned certify that x ata the owAOr of the respective property, or am <br /> qualified to rePreaent the Owner and agree to do the wiork described above in , <br /> accordance with the rut s, regulations'of San aoaqudn County and subject to <br /> i,agpecti on and approval Lo )-ICI-0 0 ` <br /> Sigsaa,turo of Applicasat A Title <br /> Date <br />