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Feb 15 01 09: 23a Vallied Customer 209 468-9324 P. 1 <br /> ti <br /> !Vf/ <br /> "1.LICATION FOR ENCROACEMENT PSRMIT <br /> PRI T <br /> f oP7XCE USE ONLY <br /> Date I <br /> JOB # REF <br /> To: San Joaquin County A>?N CR # <br /> Department of public works Exp. DATE <br /> DRYvXWAY8 s <br /> VALID TO <br /> (Applicant Nam*) STREET QUAD <br /> AREA ; <br /> S, rrG- 4ee TYPE — <br /> Mailing Addrese) FORMS <br /> NOTE <br /> ys <br /> (City, State, Zip coda) <br /> Com= Sl- SSSS <br /> (Area Code - Telephone Number) <br /> Sketch (Detailed plans may be submitted) <br /> sic Q Q C/'1`e� �Tc <br /> L c.��iaE�S e, <br /> The Undersigned hereby appli'e for permission to excavate, co tract and/or <br /> ide of <br /> otherwise encroach on County Highway Right-of-way on the fe /mile �q+ L4,Z5 <br /> i�A LV0 approximately f <br /> by performing the <br /> of ire <br /> following work' (description of work) : <br /> luh D. <br /> for approximately <br /> Work will commence on or abOW: 1 G W L= a <br /> y p <br /> days. <br /> or am <br /> 1, the undersigned cortify that Z am the owner of the respective property, <br /> qualified to represent the owner and agree to do the work described abovo in <br /> accordance with the rules, regulation of San Joaquin County and subject to <br /> inspection and approval. <br /> Date <br /> Signature of App cant - Title �c�/OC�r�7'- <br /> �p.vs�r�ecamL tc/so/ooh <br /> e <br /> FEB 15 ' 01 9 : 17 209 468 9324 PAGE.001 <br />