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an OF STOCKTON i . <br /> DEPARTMENT OF PUBLIC WORKS <br /> a. + <br /> APMiC,�M FOR INCROACNMENT ON PUBLIC RIGH i I . <br /> r 8 )it 62- <br /> .4&C—=22& <br /> i.2.arc 3228 AA GX,AN!' _S/a,�c'�M ArFWOVEO: OP ir/YBLIG it <br /> .i <br /> insreJ erunp pey lCLir' FoeF�f� �i�n rte.//—��.'9�/I� Ifs�f"It f.Plre aIrI <br /> ±Wh6raby apply fer an encroachment permit to carry our the following work: <br /> i <br /> • > M ii}son ed erykmnr/rgby nawm pMni~to- PCRM1T RIE.- <br /> 00~ <br /> arwress a«.;. i. <br /> , <br /> i <br /> l <br /> Irwr.TcP areerR <br /> IWAL <br /> Building Pemri4 NP. ; <br /> Improvement plant t4 <br /> Supplemental Col :j <br /> i <br /> daprr sassYt Uwe«relr a dreese0 suasewM � , .. '.: i i <br /> i <br /> Iq4-n�-m, <br /> hpplkant hereby agrees to comply with all provisions of this permit as well s'jpll applicable[ity OR9Enart4}s, <br /> ree andards and specifications currently in effect, and to pay to City its actucil dash f remorial end proper . <br /> IMM which does not meet above reciulremems. Failure to comply will be oqu A r royaoation of permit, II• <br /> M indamnffy and bald the Ciry harmless against any and alt 1osMs, costs, or apes resulting from ihoxisi to <br /> h *for damage to propeM occurring at the sire of or as a result pf lso be performed, u�rderHape of insurance will be presented by applicant upon requestpPOvislons on reserve side of this permit befam signing. 'Nal ro"Insisept of 0 M and Inepedtl W <br /> Eepfwwli <br /> 94443WNerwJ, Pha <br /> 1 � sed-rfiY J,a-i,nasr Nn..ur:i,ry/5nrn � tj .i . . ,I <br /> i <br /> i <br /> i . <br /> t <br /> � v <br />