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11/12/2003 16:48 209522 ' GEOLOGICAL ,TECR"^ 3 PAGE 06 <br /> - -- - --- -1 i u� VWf�Y{J111 W7rmr•m1L ke- 07-8!jU1 3 <br /> (Date) <br /> .James B. Giottonini, Public Works Director <br /> Public Works Department <br /> City of Stockton <br /> City Hall <br /> Stockton, CA 95202 = <br /> REVOCABLE PERMIT APPLICATION <br /> I/we do hereby request that this letter serve as an application for a revocable permit for the <br /> following <br /> Install and maintain '7j \jv <br /> in the City's right-of-way at C . moo,c} SS- , � as shown, <br /> on the attached drawing. <br /> The undersigned has received.a copy-of, and fully understands,..the'Standard Conditions <br /> governing the issuance of a Revocable Permit. <br /> (applicant signature) <br /> Name:- ��, ., ; �•,�C 1�-r'., <br /> Company Name: r� tz v .� i- L rvr. <br /> Address: to . 3 �ti tY. t, S I' v <br /> I <br /> Phone: , c ` ` <br /> �� <br /> grndwV.npp <br /> + <br />