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DocuSign Envelope ID:8B56C3FA-62B7-493F-BC27-590CB2A7567C <br /> Permission is hereby granted to the City of Lathrop and its representatives to enter in, over and upon <br /> owner's land as detailed on Page 1 of this Permit. <br /> CITY OF LATHROP PROPERTY OWNER <br /> o sa aey: <br /> By: Signature: Q <br /> Cwocmoesewaoz.. <br /> Michael King,PE <br /> Assistant City Manager Name: Andrea Terwilliger, Director <br /> Date: 1l I ca• ZdZ3 Date: 4/1/2024 <br /> Property Address: 601 Nestle Parkway, Lathrop <br /> APN(s): 198-220-10 <br /> Property Manager: Jacque Harris <br /> Telephone: 510-407-3695 <br /> 1. Please list any special conditions we should observe while on your property. <br /> - Send all COI's for any vendors performing work on the site <br /> - (1) week minimum notice,provide as much detail as possible for scope of work <br /> - Leave site in appropriate condition <br /> - Send copy of abandonment report upon completion <br /> 2. If you have tenants or lessees on the referenced property, please complete the following so that we <br /> can notify them prior to field activities: <br /> Please notify LBA and we will notify our tenants accordingly <br /> Tenant name(s): Phone: <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Zip <br /> City of Lathrop,Permit to Enter Page 2 <br />