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-43 <br /> �triCATiON ,FOR ENCR ACHMENT RMIT <br /> Date <br /> Ta the: San Joaquin County &7 A9.: 3Z. <br /> Highway, Department _ <br /> to caval", construct and/or otherwise encroach on <br /> The undersigned hereby applies for permiission <br /> County Highway right of way by performing the following work: <br /> uJvG <br /> o, Are <br /> uv c i � <br /> (Applicant will,describe here fully what he wishes to do using reverse side if necessary} <br /> Space for sketch Submit detailed plans if available. <br /> R V. <br /> • . - - - ���-Iiµ7. - ' <br /> ArTrAvA � <br /> '.� 1 owl <br /> On County Highway <br /> (Applicant,.wili state here accurately the location of the work he desires to do) <br /> and agrees to do the work in accordance with your rules regulation" d subject to your inspection <br /> and approval. - <br /> Signa re of ApO96gfit <br /> -Ph-on-Number <br /> r�rt Ec�dJ,v�a6� <br /> O "O/'d! <br /> Post ffice Address <br />