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Permission is hereby granted to the City of Lathrop and its representatives to enter in,over and upon <br /> owner's land as detailed on Page 1 of this Permit. <br /> CITY OFLATHROP PROPERTY OWNERi <br /> By: Signature: <br /> Tim McCoy <br /> Public Works Director Name: •C /7 <br /> Date: Date:�f 1(/ <br /> Property Address: <br /> APN(s): <br /> Telephone:����5�� <br /> 1. Please list any special conditions we should observe while on your property <br /> 2. If you have tenants or lessees on the referenced property,please complete the following so that we <br /> can notify them prior to field activities: <br /> Tenant name(s): Phone: <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Zip <br /> City of Lathrop, Permit to Enter Page 2 <br />