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PUBLIC WORKS DEP,' TMENT .� N2 075 <br /> Su <br /> 16775 South Howland, ite 1 <br /> Lathrop, Califo a 95330 <br /> (209) 858-559, 53re? <br /> Fax 858-5259 <br /> ENCROACHMENT PERMIT <br /> TO: Name WHF, Inc. Date Issued September 18, 1995 <br /> Address Boa 576729, Modesto Contractor Frontier Drilling <br /> Phone (209) 579-8138 Phone )800) 201-0211 <br /> (Permittee) <br /> Date work to begin 9/20/95 License No. 673504 <br /> PERMISSION IS HEREBY GRANTED TO: Drill 4 Monitoring wells (see Attached Map) <br /> Also, boring on the NW corner and on L Street on the SW Corner. <br /> (Attach 1 set of plans or sketches) <br /> to do work in City right of way as shown on attached application and subject to all the <br /> terms, conditions and restrictions written below or printed as general or special provisions <br /> on any part of this form, and/or attached hereto. <br /> Your attention is directed to the general provisions printed on the back of this form. This <br /> permit is to be strictly construed and no work, other than that specifically mentioned above, <br /> is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed <br /> by — s C)��aber Z 195 <br /> r <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and requirements of this permit. <br /> Signature"o e e Director of Public Works nn <br /> V. By: <br /> �ervditee or rized Agent <br /> PERMIT IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> HIS AGENT. <br /> WHITE-Permittee YELLOW-Accounting PINK-File ng�D <br /> X3?�, <br />