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APPLATION FOR ENCROACHMENT 'PER"'T <br /> Dater\,Ju r 30 19 <br /> To the San Joaquin County <br /> Highway Department <br /> Gentlemen: <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on <br /> County Highway right of way by performing the following work: <br /> (Applicant will describe here fully what he wishes to do using reverse side if necessary) <br /> ,L1 o o'r e /a-5�d - Le li-p• fv. __ :��2 r._. L/Jae. o f. <br /> a <br /> > _ O� 5iV r x-�V-" <br /> Space for sketch Submit detailed plans if available. <br /> i <br /> -On County 'Highway 50ull :51 d.:e- of �r-lzfrili—I f V/ ✓e , o.00 -,4X-t 64tj of <br /> v <br /> felytroy�- /c o a d . Ea,)t- 5cue o:f Jul QOW o v�- c /2o a cJ, /0 0 Ce e.f s o i(44- 0 f <br /> (:applicant will state here accurately the location of the work he desires to do) &eh. /-alf Dr%✓e_, <br /> and agrees to do the work in accordance with your riles and regulations and subject to your inspection <br /> and approval. <br /> tr+ <br /> Signature bf Appl• ant <br /> /30 <br /> Phone Number } <br /> 4 SqS (.t�cra�l -G7rc,(S ,ed. �ar�fnn, CA <br /> Post Office Address 95�5�10 <br /> Permit issued: <br /> i <br /> 9 PW-24 (9%84) <br />