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92-144
e i R ~ . J. - iI I It:: _~I! I-!it -...... !5 -... . .. - t:,s, Nft't.. s: : .. r .. -. ! .. f ~t!a . .. .. ! .. c.. - - ...ft" !Jill . >> ..-.. . r f .. - .. . ~-1 r i . I: _ - rr: I ~ i i ~ i iI l .. = -A. r=_ .. l ~ I 1 ..- Penlt .0. 9d - /t./c;' en or c:&IIPDL1. ~~OAc:mmII'I' PmrIIT'!' :"-: ==c~'1~ 0 ~1:;.=..1n~Ul;) - f~al1, a..,IiOP. ~~ (401) "..-IUO 1 f} \'Qt\'~ lU1Ied :2......? AllPl1aft1an Daa APR. " ,~~ JlUait: 111 11 _. App11cat:1an ....u. 111 , _. APPLIC&ftmf - appl1c:aUCII\~_JHIJiUY _d. for a "11e Wozb PuUt 111 ~ v~_~.ll 1lUDic1pa12.:rrc~_~gIWR:"""(AppllaaUOIl upu-. ill . ~ if pea1t C ...... I V Ii: " A. 110ft eddnu or ~. 195 West Rincon Avenue Units A-B-C. AI2.R-l31992 ~1t7 ~ loaatian install utilities as indicated on attached Public W orb' Engineering X....f. fU. B. "aza fd ~I sketch G???01 S.D. c. Attac:b Un (5) copi.. of a clnvinlJ abovinlJ ~ location, abM and dilleuiona of ~ work 'ftae clnvin9 aball abov ~ relaUon of ~ propa_" wark to ex1R1D9 lnIrfa. ..... lIIId~ ~ov....n:a. 1Iben -Wnll_ by ~ C1qo _~, ..1d clnviDI tin a part of tb1a pu.1t:. D. ft. a.nenl COftd1Uona for all peE'laiu an U..t:..s OIl ~ nvene _ide. Special PnYia10na for ~ puait an lined belov. raUun to ab1de by tIl... oontiU_ and Jl1'OYia1ona _y nault ill job ab1at:-dcnm and/or forfd1:1ln of raithful Pufomanae ..... and aub depoaita. (I.. a.nenl condJ.Uoaa 1 and 2). J:. All appllaaU. fa -.t: U1L4aIIY ~ appllcaUOIl. 'ftl1a ia aon-ntaDdaJ:tle. ... ot Appl~ PG&E 1'al.......1 408-725-2114 ~ 10900 North Blaney Avenue, Cupertino 95014 18 ~ warJc -iDI clone by tile pzoopefty ~ at: tIleir own 1'U1d8aaa' --3U ~ Callplete aDd attaab Warbn' Callpenaation and cont:raeto1" Infonation fon.. 'l'Ile AppllaaB1Pual"- banby atna by aUix1n9 t:beiz aipatan to tIaia"pen1t to bald tile City of . CUlpbell, iu ofUaan, aqent;a and .-ploy... fl'M, ..fa and banl.._ f;'aa allY ala!a or ~for cIua9- nnltiDI fn. ~ ..k ClIftnd by tIaia pen1t. 'l'Ila appilaant;/Pualt'tH benby ~edq.. t tbey ban read and undent:ud bcrtb tile fzant UId back of ~ peE'lait, and tbat: vll 1Df ir Cat of tile 1DfOZMUon. ~AU April 10. 1992 Dete IIODII ALL'" mIALL <:o.tu.. W1"1'II 'l'BJ: AftACBJ:D, U.....VD PI.AD AIm ALL Uftolc:ux.& eaIIPULL S'l'AIIDUD IlMJrDGI AIID ~bdloa. 'ID ~ IIDn' an 'DIU PDBrl' AIID ~ PI.AD AIID -..r 111ft wnIl sa .... JJlSPICfOIl <* 'l'BJ: IrD III LDft 'lW ran aaaa IDIIftIIlI -.&. 1IO"f'Ic:J: JaIft . CU'nII 'I'D IVaLIC .... III I.Dft U aaaa ..... DI'l'ABDII Aft -.. S~ PIlmrtS1:aIm _1. ftZMt; aba11 ~ _ .... cat: for ~ 1ut:a11aU_. ~ aau _y - allowed for ~_ or aplR8tiOll bol... IaaIl aau ~ be .-ei~i..l1" _lIItnw.t bY ~. rft~Dr. .....- ~ be cat: tor ~ iMtallaU_ and -- be .~ ill aaaanuoe vitb ~ DUUty ft'uab a-tontion .tandU'd Dnv1Jlt. won to _ ..... br . 11c:enaed LaIIlI IUft)'OZ' or C1Y11 ....u.- aDd t:w (2) oop1_ of tile Gat: ...... ..at; to tM "11e 1fOrJt ~ _tQn a1:azti.Dt 1Iftk. !IIla ..... fd won an Ua1t:ed to OIIUide tb8 boan at ,-I .... aDd 3... p... for .., won affeftiDt a tzaffla laDe. ;...../" _2. _3. _4. _5. o{[ -J.() 5Cb.N tJ pF s--; ~ ~~ f-J~~, 111-1. \ -"".~ .- f \CS. C.:CJ ~.. 110... C\? PDIIX'1' APPLlc:&ftCII Fa: PLUI c:::ac:J: ~D' SlOO.OO t.oo.OO (UO.OO) .- . f . .- t \CYS. ~c laID PUR PAl'l'ID"OL J'I:IJ'OmWICJ: (lOOt or DIG. 1ft.) caIB DIPOID' (f200.00) (4t or IGID. f'OO ~) I'tAIf c:ac:x , IlIlncnCII Fa: (to - SlOO. 000 lot , Sloo,OOO - t.oo,OOO ..,~O,OOO and~' SlOO lID) APPauvlD POll USUUC:Z _ .~, for C1ty (SIZ cma IDE) q. 4- -'Z..<6 ~~1- Date o UJ > ...J <( > -.c ~ ~ I' N ffi Z ~ <( a: ~ ~, 4- I .. 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