Laserfiche WebLink
I <br />i"lEilSIE i"RIImf: <br />Data .P ~.2 ~.2",i6 <br />To;SanJoaquinCounty <br />'Department of PublicWOIts <br />_.?&~E R#\.3 11.6q LI5"~ <br />(tJi~~.~~/ki)~l~~:\i!m~J) <br />eo ~r"..6),,\[I.-.-<o'\.A ,~#,,]t-#;J ,y="'1\n n2(/,.&QP'=,(i.G?{'U p ~'~'~~i~,pt:.Dlkit <br />{iGi'-\Y,sii~i:e,litrn iGo~e} <br />-!~,)~7:¥-qS!32. <br />,(IIm@ «::ijiil~-filiiltrnl1000 ~JIJii1illi!") <br />Sketch{Datailed plans may be submitted) <br />tee &/:t+@/.ehd <br />OFFICE USE ONLY <br />JOB#730053--cP REF # <br />APN CR# <br />EXP.DATE ~~ <br />VAliD _.2/12114>TO -.8Jillb DRiVEWAYS: <br />STRElE1 '"\"Q~ou ~.., <br />AREA l<Q:;;>.L_,_'.QUAD U~_,,~ <br />..TYPE \\'k &~-M ___-_.~FORMS ~WN,NOTES <br />The undersigned hereby applies for permissionto excava~construct and/or otherwise encroach on Counly Hi9=i9ht.of-way on <br />the 6'sideof N Tv,t>r-n10V1 d approximately 3337 e ite',$ <br />of IAI IIj &>It'd"N'dg..e.Rtf-,L.~p:r ,by performing the following work (descriptionof work): <br />Rep IlACe.E)o'£-6'o ~fa Ie '$6 ~N !h Q N'I t'o1\e;:/ <br />Work will commence on orabout for approximately days. <br />J,the undersigned,certify that I am the owner offhe respective property,or amqualified to representthe owner and agree to do the <br />work described above in accordancewith the rulesand regulations of San Joaquin Counly andsubject to inspection and approval. <br />!<o~Signature of Applicant -Title 3-3-::ao 16 <br />Date