Laserfiche WebLink
04/22/2005 13:09 9166610430 SECOP PAGE 07/11 <br /> Feb 15 05 06: 06p lued Customer eu 9btl-set F'' ^ <br /> far <br /> AFPLICAT20N FOR ENCROACHMENT PEW"T <br /> p RRx <br /> OFFICE USE ONLY <br /> Date REF <br /> JOS <br /> TO: San Joaquin Colinty <br /> DepartmenL Oe Public WOY,k� p, <br /> yTtn..s DATEO . 1.�srnRIVgWAY5+ <br /> VALID T <br /> STREET J� <br /> A� l�N tp�pW3lcarat Naa}o1 AREA eTa�QUA`D�,'y.- � <br /> TPE k <br /> Y �r'•�G� M1�M�1T'D__K11��' - <br /> FORMS 4f vV� <br /> (Mn//llins 7tdddeasel NOTE ._ <br /> Ae..c�e nrA/�'p �/7 psG�jd <br /> (city, State, zip rode) <br /> f/.- <br /> (Area Code xelayhnnn Numbed <br /> eaween (verailed plans may be submitted) <br /> ��ieJL+ f. V <br /> 4/� `/'.✓1' ��.S.s f �G -.rc rn' �/X'�...®C Y�s n"a7�s/ <br /> The Undersigned hereby applies for permission co excavate rf tract and/or of <br /> othea.,�ioe e1.0 each on County Highway Right"o£So mon the ems mile <br /> _xt-eV <br /> /r„ewf. ,Pse fir ra �� approximately by poxformin4� ^ <br /> Of r � <br /> C3fr '• <br /> following work <br /> (description <br /> o£ Wore <br /> /reM•. rr%• '°''6AJ C �':• Sec .e' 8r �" � '/ <br /> p✓fP" v wires* r•� �% ^'N.�/�'- _ a �. <br /> a.. r...r y4.ti^�'` �""r O £ox apProximaCely <br /> War will Commence on or about <br /> dayo. <br /> 1, the undersigned oerti£y that I dm the owner uL the roapactivP propertY, or am <br /> qualified to represent the owner and agree to do the work described <br /> eed above <br /> eject tIt <br /> 10CordeD�A with the rules, regulations of San Joaquin County <br /> inspection and approval. <br /> 7-aZ—dam <br /> fik _rc' _ Fr •' AifC® Gate <br /> Signature of Applican - Ti t1e <br /> WstC4.ne�R�6lOm� IC/00) <br />