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JUL/22/2016/FRI 09:16 AM SIMSGRUPE MANAGEMENT FAX No.12094781404 p,003 <br />APPLICATION FOR ENCROACHMENT PERMIT <br />PLEAsE PRINT: <br />Date OFFICE USE ONLY <br />To;Sao Joaquin County <br />Department of PubneWorks <br />faY6\.-\4A~~ill1,dl\V\co\\I\UV\-\eY <br />(Appllean Name) <br />~14-\AV\(1)\v\ce~tGV'. <br />(Mailing Address) <br />~\Ock-l''''',CtI\q':>'2.01 <br />(City,state,Zip Code) <br />JOB #//bOD'i REF # <br />APN CR# <br />ExP.DATE aM hlP <br />VAliD 8M/tre I TO'B!J9(/(P <br />STREET ?2fitJ /ltJf,T PIlI/!6 . <br />AREA 7@aa-otJ QUAD tv <br />lYPE ~w!ld hAD @Su~ <br />FORMS .~/;vw . <br />NOTES <br />DRIVEWAYS: <br />•• <br />days. <br />•.•/I {6 <br />.Date <br />'L -A.-",,.,.....,.\- <br />ppllcant.Title <br />The undersigned hereby appOeefor permission to excavate.cOnstructand/or otherwise encroach on County Highway Rigl:lt.of.Way on <br />thel'~side of "'"t dr.approximately \b\0 ~feelfmile :.:ft1l\!h.of t\...by performing tlie folloYifngwork (description of work):4.OIl\DV\<..U 0 ..L'j'i-e <br />Received Time Jul.22.2016 10:54AM No.7999