Laserfiche WebLink
I( <br />~lIEAS;r::1?'~11\ff: <br />Date ~~.2~.2016 <br />To:SonJoaquinCounty <br />.Deportment of Pu!llic WOI](S <br />_fb'(~!PJ'fI3117735"0 <br />(#\\~~rf.i:[f\!~~:'~~n3) <br />It:'~-!1'-'~#"]~brl:::;;~"&\6'tC ~~@~ifU IJ CA"'ll (b.;'r ~,;;:'ht')~{' <br />{Ci~}I,si~t!l,li~iGlI)!le) <br />(u'q)in%~q'f 32.(Are~iC@ilI~.Iei~IlIl@Il~~ja!il1!bJe"1 <br />SI(etch (Detailed plans may be submitted) <br />See ~z:H@jeh&1 <br />OFFICE USE ONLY <br />JOB#'13006JA:>REF # <br />APN CRti <br />EXP.DATE 8M/(... <br />VAllI).2~/("TO Ah&'""DRIVEWAYS: <br />STREET nl,.-ff Pd.".?-xi.'-,"AREA QUAD ..LifG _____ <br />TYPE f'<-(~~lc-=~,-.~~-- <br />FORMS ~-:s .vJ <br />NOTES <br />-. <br />The undeISigned hereby applies for permissipn to excaJl.at~,construct and/or otherwise encroach on County HighlJ!i!YRight-of-WjlY on <br />theVJ side of N ~II ,(;>t-t ~approximately I ~00 {[e9tImile_/V __ <br />of :r el b a I/I.-I &.&,LoD::t:,by performing the foHowing work (description of work):AlRepllAeeE:)<ltS--t,'I\~Pale..It/r 2L/3t>Oh 611/6"1"1:?& <br />Work will commence on or about for approximately days. <br />I,the undeISigned,certify that I am the owner of the respective properly,or am qualified to repf€sent 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. <br />j<.o~ <br />Signature of Applicant.Title