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., <br />:,...i;,.,:_,.' <br />S ;A~~J --'':),\;,'j l_i,;"C_C;UH T Y <br />OFFICE USE ONLY <br />JOB IF 7'fOO-)')REF # <br />fiPN CRIF <br />EXP.DATE 1-(-/£ <br />VAUD 2"-f-lb TO 1-1-1-6 DRIVEWAYS: <br />STREET 0trAA~~" <br />AREA Csza/on QUAD >E * <br />TVPE .~~, <br />FORl'v18 .iSL1IlZ RO).q <br />NOTES . <br />H'lBiS1E Il"RIIff: <br />Dare [,/-.20 ••2016 <br />To:SanJoaquin County..Departmen!of Puillic WOlita <br />JG-J lE Pm :s I :2 I f3 I q 3 <br />(ff'.f;p"i~stli~ffiil <br />Stude 1:lb11i>•etA q'5'~,,'titDiW,si\iite,Ziii»Qloo) <br />Qtd)37a-qq32 <br />(d1r~Coiilre.IeHl!1ii»lJiililIJ ~i!miI!lref) <br />Sketch {Detailed plans may be submitted) <br />•tee.-,I'I-'M"{e:.hecJ <br />The undersigned hereby applies for pennission 10excavate,construct andfor otherwise encroach on County High Right-of-Way on <br />the II/'.sideof t2 ca n~e AVe-approximately ;z.65 .fee'lie LV <br />of ieXD:>N fER.Rl>.Es/!-.;4-l..CJIV ,byperfonningthe foffowing work escription of work): <br />~e.plat.e-,g;:¥I'ft=t'n&fb1e 2g 17,:<-OIt'4'YVft!?,'A.lle <br />Gii:S e.-A-l.-t>112 M tIA 1M 14'6 ,>tg.Iff ce4 <br />Work will Gommence on or about tt -.2 12"-:2 (>,6 for approximately 1".:2 (?r .days. <br />J,the undersigned,certify that I am the owner of the respective property,or am quafified 10represent the owner and agree to do the <br />wott<described above in accordance with the rules and regulations of San Joaquin Counly and subject to inspection and approval. <br />;<.o~ <br />Signature of Applicant.Title <br />./.1-,).o--~oI6 <br />Date <br />.. <br />M.1t:EN1AAu:ERIIlt:ES1G!£RICA1.IPlJB.S.WKlIMmERPSlENc:ROAC!iMElfTPE1MJr APPtlCtfllOll.!lll[;{lJSlt3J