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04/20/2004 09:41 20946 - -i AGE STOCKTON PAGE 02/02 <br /> 8 <br /> - - - - - -- - - - - No 265 <br /> PYIBLIC WORKS DEPARTMENT <br /> th Howland, suite 1 �" '� "00 <br /> 16775 Sou95330 <br /> Lathrop, California <br /> (209) 85"S92 <br /> ENCROACUMENT PERMIT <br /> ental Date Issued <br /> r a 27 2004 <br /> TO: Name dvanced Geo En�iro Sarna <br /> Rd. <br /> Stockton Contractor <br /> Address 837 Shaw <br /> Phone <br /> Phone 0 fi7- 006 <br /> (Permittee) License No. 6so2z7 <br /> Date work to begin o <br /> PERMISSION IS HEREBY GRANTED TO: Permit - <br /> Relocate existng monitoring well at the corner iof This isea/nohfeerPet from the <br /> skate park property into the City right of way. <br /> well conditions still apply.) <br /> all monitoring <br /> (Attach I set of plans or sketches) <br /> to do work in City right of way as shown on attached application and subject to all U <br /> terms, conditions and restrictions written below,or printed a5 general OI$p Q' <br /> on any part of this form, and/or attached hado,t-. - +�Rw( <br /> Your attention is directed to Se&=ie r>4ted ort <br /> permit is to be strieflyconstratd�dno oRer back <br /> • y _. <br /> at ALar,y i <br /> is hereby authorized. <br /> This permit shall be void unless the work herein c <br /> by_ ovenpiabed shalleo <br /> vl <br /> Accepting this pemdt or staftg.workIN"� er <br /> to all the conditions and re institute acce and <br /> gm"rerftenta of pek elM 1 <br /> Signature of Permittee <br /> liy. -asto f P lNbrky <br /> �edAgent <br /> Permittee or Autho By <br /> PERMIT IS NOT VALID UNLESS WMCUyW <br /> HIS AGENT. B.Y DIMCTUR OF MLIC <br /> WORKS 0I <br /> WHITE-Perinitlec YELLOW-AMoanting PINK-File <br />