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APPLICATION FORENCROACHI1HENT PERl'i.m <br />PLEASE PRINT: <br />II l.rDate,j I ;2.01 OFFICE USEONLY, <br />To:San Joaquin County JOB#/IOCJ05'REF #Department of Public Works APN CR# <br />jJlO/liTllJ/lI 1=,eEi ?d;;sr~-IcT EXP,DATE '3\2<:>\It.>VALID =-1;9 \1<"TO ~1'20li<':'DRIVEWAYS:.(A.pplicant Name)STREET 7lIoelJro>->"jq),:t TlHl.Nt2i..,eo,*?D 80)(AREA j}/oe/>lT<>>.l.QUAD "tiD -7e TYPE Tb1fFI<::-ajJrtZoL-.~a;,>*(Mailing Address)FORMS "9?(/A).,,) <br />~!V71t)tL/.,&9sU~NOTES <br />(Ci',Slate,Zip Code).~~1>/i<.(vI":••.•,1 Il/lARCH rr-ZL>Zo\t.>flO 'i-?9'-1-d-'-f /.p l}..i"l"oM "",~II.r-L To ";":Co p~.{oJ(/t!-;'I: <br />(Area Gode.telephone Number)I <br />Sketch (Detailed plans may be submitted) <br />SP"E .4-t77C/eHt27J LOf!4noA.l tn/J-PS <br />The undersigned hereby applie00r pemiissio~to excavate,construct andfor otherwise enCiOacn on County H~ighteof.Way on <br />the /!J.l£..sideof'/HtJiZnllJlU('m£l7MZ ~_approximately './md ~~lle . <br />of ,by performing the foilowing work (desciiPtio-n-of-w-or-k)-:II -tU f1It?tBue/75" <br />-tJdA.t?GlZ8tJN4-L 01 LV VJt::?'l9tZ 4pZ-&eT1Vt".-V6<"Srs_«0Lu70 ~~' <br />yoa£..S~~()N ?)A-m~6pmJ!jC).Wanewill commence on or about m /_'ZcJ I WI &for approximately ~~days, <br />3/1 j.:wl 0;. <br />.DateignatllreorApplic8m" <br />I,the undersigned,certify that I am the owner of the respective property,or am qualified to represent the owner and agree to do the. <br />work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval...