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Hk 12-bF1-J- / Gtl bLy rxum a YULbUm bUU In LMNMH [ MwV l U= b lG 06L 3132 rMut <br /> Assessor's Parcel No.: A.PN 152-I00-087 <br /> EAST BAY MUNICIPAL UTILITY OWNER- <br /> DISTRICT("DISTRICT'S <br /> RECOMM DED B <br /> -�j r J <br /> By: `rj L Owner signature: J)//A',V7 <br /> Paul C. Hoover <br /> 1rtatetRepresentative Owner name: /��4 <br /> Please print <br /> Date: \ Date: !i <br /> APPRO 7? D BY: <br /> A <br /> Stephen J.Boeri <br /> Manager of Real Estate Services <br /> J Date: 1 % <br /> - -- ---- - --- -- --- -- <br /> Owner Please complete the following <br /> 1. Please list any special conditions we should observe while on your property: <br /> 2. Owner telephone no-! 2ZL 662-371✓ <br /> 3. if you have tenants or lessees on the referenced property,please complete the following so that we can <br /> notify them prior to field activities: <br /> Tenant name(s): <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Zip <br /> Tenant telephone no. <br /> ,Please use the back of this page if additional space is required <br /> x e� n 2 <br />