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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 /> CIIY'QF I-ATHROP PROPERTY OWNER <br /> By: <br /> •�5� d'-1 Signature: <br /> Greg Gibson <br /> Senior Civil Engineer Name: �vtiZ�y� g����C'Aj -� <br /> Date: I At-1--Aggit., Date; <br /> Property Address: <br /> APN(s):21 -110-03.213-120-01.213-120-02• <br /> 213-210-06 213-210-07.213-220-02.213-220- <br /> 03;213-230;02:213-230-05: 213-250-0_1.;213- <br /> 250-04;213-300-07. 213-300-08.213-300-09• <br /> 213-310-08 213-310>09.213-310-10 <br /> Telephone: <br /> 1. Please list any special conditions we should observe while on your property <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 /> Tenant name(s): . � ay I (e,,-; 4 Phone: .120 9320 <br /> First Namie lest Name <br /> Tenant mailing address: 6 4 <br /> Street Address City Zip <br /> City of Lathrop; Permit to Enter Page 2 <br />