Laserfiche WebLink
flEI~SIEIf't~II)II; <br />lJaie j !~I '7'=:2.t;!,(,:$,-_--._ <br />To:San Joaquin Cduniy <br />'!JepBrinJent of Public Worlm _ <br />I]}J''.oot..,•...•'..iL &:'I,\\@\!,""t~_I:.-\'\l-:~_ <br />i[l1/lamlllJ f.~(!m5s) <br />~.i;'~tCd~',~bli\C{~.q5~b~~ <br />(C»1:11,S~te,Zvp Coole) <br />Z<i)7Q)JL1&-til ~23.2.rrlf/h £ea,'O"0 ,ee(!~(Area Gllde -]'elephoUle NumRJer)@ <br />Sl<et~Detaile~lans maybe submit e D, <br />OFFICE USE ONLY <br />,JOB w':.-2.~(Jf)~2-REF #-.--._---....-~---AI'N Cl~#----_.._---_._-.-EXP,D/WE -'--_~(~L61I,~I.f[)_3::9.~G._TO ]-/52L~_~!:IRIIII,WIWS:STHEF.:T __JQtlir",--Ee-_____.' <br />'"------AFl[;{,filC.4{IPI1 __QUjJ,[J -5£.--____,------TYI'I~_~an<>,.-------FOI1MS .JS_bd¥'&.2qNOTES <br />,- <br />.The undersigned hereby applies for permission to excavate,construct andlol'otherwise encroach on County Highwa Right-of-Way on <br />the III GiE side of -><LIi\.+«t Fe rRd approximately -S"o etl ile S E- <br />of .$.H4/fydld AlIi@.G$c..Al.LulJ .by performing the following worl<escriptionofworl<):, <br />Worl<will commence on orabout .1.2.-1'1 -HZ .. <br />forapproximately_~t~2~O~days. <br />I,the undersigned,certi!\J that I am the owner of the respective property,oram qualified to representthe owner.and agree to do the <br />work describEldabove in accordance with the rules and regulations of San Joaquin.County and subject to Inspection and approval. <br />~114 .•"~rt .Signature of ApplicaUll"Tille <br />I,UCEllTRAlSfnVlCESlCl.1:JlJCA!.1FUB~V.lVrttV.A&1EIl.PS\EICROAcle"ErITPElU/Jr A?PllM1l0IUIOO ~1l31 <br />._/1d 7~~61J>- <br />Date