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P LIC WORKS DEPARTMENT � 2 441 <br /> 16 5 South Howland, Suite 1 <br /> Lathrop, California 95330 <br /> (209) 858-5592 <br /> ax 858-.5259 <br /> ENCROACHMENT PERMIT <br /> TO: Nanle__secer >nteru,ri,anal' Tn�. Date Issued 4-16-02 <br /> Address 3017 Kilgore Rd. , #100 Contractor Fisch Env./Cascade Drilling <br /> Phone 916-861-0400/916-774-2910 Phone 916774-2910 <br /> (Permittee) <br /> Date work to begin t,icense No. Fisch 693965/Cascade 717510 w_ <br /> PERMISSION IS HEREBY GRANTED TO: <br /> Construct (3) each groundwater monitoring wells and (8) each geoprobe <br /> Investigational borings as shown on the 5ecor figure 2 extended site <br /> map dated Feb. 1, 2002 subject to the attached conditions on Exhibit "A" <br /> dated April 16, 2002. <br /> 1 <br /> (Attach Z set of plans or sketches) <br /> Abo work in City right of way as shown 6n attached application and subject to all the <br /> terms, conditions and restrictions written below or printed as general or special provisions <br /> on any part of this form, and/or attached hereto. <br /> Your attention is directed to the general provisions printed on the back of this form. This <br /> permit is to be strictly construed and no work, other than that specifically mentioned above, <br /> is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed <br /> bye <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and iequirements of this permit. <br /> X <br /> Signature of Permittee Directo P tA — <br /> B <br /> ks <br /> By: <br /> Permittee or Authorized Agent / V1, <br /> &1!T IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> GENT. <br /> 3 <br /> WHU&Permittee YELLQWAOcaunting PINK-Fde <br /> S <br />