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.. <br />,.,\,..\!~,::'\ <br />Sf~1'1.J;jr~\":'._,;;"~CC~jr.;T y <br />To:SanJoaquinCounty <br />.Depmei1t oIl"v.lJlio \/\101m; <br />DRIVEWAYS: <br />.,-~-,',--- <br />"] <br />".",','-OFFICE US/<ONLY <br />JOB 11 13t»5J...to REF 11 <br />AI'IIJ CRI1----~~-EXP.DATE --8./1/1"". <br />~AUD_:/t;~.~TO~/P -.~TREEI ..~~£.__~_I ~::.~#1:7;d~:tI£'-!J.-~£A--;:-~---. <br />FORMS.i¥ww._ <br />NOTIES <br />PP'"i$,If a 3 til 6 7 <br />Q~~~lnMI~:~l~[:iJm3ft <br />S t.td<:"i\\?"i !tAli <4r~~e:',)4~ <br />(iC-iity,Sffi~@,ilIjll(;ilillap <br />(:i.¥i)'n'"1-Ci''4f.52- <br />{#\roo iClIJilll"I@iIljlll1i]E11l tl\IQlITI!lllrp <br />\"Ae i'f;;:'fL;..~~(=~--.- <br />Sketch(Detailed plans may be submitted) <br />~E.Je..<Jl:H-<i e.he4 <br />days.--e+._~~~~~~~forapproximately En. <br />The undersigned hereby applies fOJ.permissionto eJlcavate,construct andlor otherwise encroach on County HighlJ,!lYRight-of-Way on <br />the (,I side of ;(,'(')U e..-r-de-ft'.approximately 3 e,o &stImile_.$__ <br />of La,.,k 9t ,we>odbl'L'of#.,by performing the folfowingwork (description of work):.~"'pla t.e...G¥,'S"t=L~fete /..g(ZcJ;:;/(aroi " <br />I,the undersigned,certify thai I am the owner of lhe respective properly,or am qualified to repr€senl the owner and agree to do the <br />work described above in accordance with lhe rulesand regulalions of San Joaquin County and subjectto inspection and approval. <br />J-o~Signature of Applicant.Title 3-,7 -,2016 <br />Date