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2UIGJlJi'i 27 Ph 3:l;4 <br />To:San .Joaquin County <br />'Deparlmenl (ri'PufJlic V1/orim <br />____!:ll/i.fi)tf}'2-'".~,"-r L~ir~';;::. <br />(Msmng t1iil~e5s) <br />r'.':I:.A,~il.--';y''5ll::~Q ti.,?''Ll7(:..,f:;;;;:''''''i.:''t){;j ::vf'j ""'(:;7 ""',-J <br />(Cit',SI.«!!Zi~}C!l~e) <br />L20qJ 57¥>-fi/-s Z(Araa Code.re1ell1JOllerJumber) <br />S!(etch (Detailed plans may be submitled) <br />. <br />,The undersigned hereb.y.appllestor permission to excavate,construct \lnd/or otherwis.e encro\lch on.County High~ight.of.W\lY on < <br />the ~s+sideo!Ii/bocus+T'n.-c.'RJ,approximately ///00 ~(nile ;l/or..)1i\ <br />of IZllnK~l-.iII.,boci;/C A ,byperformingthefOlfowingwork(descripUonofwork): <br />Re.ela~e :De+er-ttt)f?'4ted'f'r,teoI <br />Wori(wiJ/commenceonorabout 7.11 -2eJtt{for approximately,7.-days. <br />".E/lJ 0 11-2()-.26 t£. <br />I,the undersigned,certify fhat I am the owner o!therespective property,oram qualified to representtlleownerand agree to do the <br />work described above in accordance with the rules and regulations of S.anJoaquin,Gountyand subject to inspection and approval. <br />II .II <br />&~0(4 .•';;'Signalure of Applkan!..Tille <br />h -z..?-;;::<61,[ <br />Dall)