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P.
<br /> MAY �' '91 1616 CIT`r nF '?DI
<br /> r
<br /> gF CITY OF LODI ENCROACHMENT
<br /> 06 PUBLIC WORKS DEPARTMENT
<br /> T �.. ,
<br /> e \l�cr � 221 W.PINE ST. 333-6706
<br /> CALL BOX 3006
<br /> LODI, CALIFORNIA 95241.7910
<br /> 0
<br /> - ' --
<br /> (Geweke Proper ,P= 1 10- So. --- -_ ee Lane_ - -
<br /> & 'Permit Address — - Ncvatoa CA _ 94948
<br /> —A (415)710-1744 P.•D-dOh 183 .
<br /> A licant's NaTe — (415)710-1744 Mobile Jf
<br /> PP FE-5_ENVIRONMEPiTAL___
<br /> (Owner/Contractor 37h-3q5 _ phone, "415)8931
<br /> 5/17('91 License No. _-- 916}645-9355
<br /> 516!9+ CorpletionDa4a _ -- rrColn
<br /> Starting Data - p ,0,6Gx 1'26, L Pl — —
<br /> WAYNE uP1Lt-IN6 Address _ - o, e•n se .n...ach on
<br /> -- (G 1P hg U�d ralgned annha9 'OI peft"" 1 to bxca" IF .�nsUe'l.
<br /> OwnerlCrntractor - NOI l rY CITY 24 Hr
<br /> PUla Uanl IJ IFP vr0c air 2 f Ira ! d; A rt.;ipg ;:• ,1 nv;�
<br /> c;ly ua eel n c, .J!•rue nz r P ra,n g r Yp ANY E)(CAVATIQN. "RIOR f0 START OF
<br /> NOTIFY USA. G42. 2444 48 HOURS PRIOR l WORK.
<br /> dr,liirlg/,nsiallat,on cr 14) morn tor'Inc '.vElls
<br /> The work con- — 111,y Location IlaG" T^"FFIC CONTROL T(
<br /> and (1) extra . ell at locations SnuwnF n _rF w„1k or p'anter Strl❑ L•E"PER CAL TRAN
<br /> ,.�. t0 hr,- is. xC,
<br /> an work- o ,n =ai tt Ole , l r4% IUA
<br /> aaeit c'* z t''- 1L .rLuw,ng �x:.ec•t �r gTER�SOIL DISP S
<br /> Prpo Ierty owner's ci b!ORK PLAN.
<br /> MW#13: On site W' Fli -e
<br /> MW#13 O - t 7 27
<br /> EW# 1 ,ile t pl ij-'ct site.
<br /> MW#1� I, .a p 1 rr.atkd On ;.35
<br /> _a y
<br /> tI c r t_hart iw;.e�. teliFsuu •t 7 1b>0
<br /> Ar4y 91t2n i>IC l vl rn! ' LCncretr' Hpr er p+i rl.
<br /> prior to Cl il , n t 3 int,on. Jl-i'171
<br /> in planter >trips or at back-(), 36,9-8274
<br /> required for tae r.>ta41e� Nor=St�l,-Plan
<br /> ntW . ,tl-a; }eys-�hai A
<br /> S1f10Walk , r-ta ,,%_:.1 ) f'rP , _a7t i)e re,,pinns-.cile fo`" mair.tenanc.e
<br /> No. 123 ( `I; ain ,0 harYi�aB�S r�quired'rubl�cn
<br /> alld )Al 'ir I'.: ' vena rd ng "travel lfiq t
<br /> t enr l l of , s,Gni c l permit date !Spa Ft1y Qt1Ip@
<br /> Note_I1iFrl N_° t „I,I„ R onor r _ <
<br /> Permit ioid f r'' r,r)' ti !1 . ' t vdi hated INt Ill )dll'lodUut f1co 7LyYFiBdI
<br /> 'tAChr •erlfired for thie wC!F'.. Work 0 be C00•'
<br /> Licenser: ^JT lr• tn•s wmer's name vthlch names the Clty of Lodi as an Admtlonal Named Insured for Com-
<br /> C<r„” nt” ' e in the amount o 51,000.000 combined sinole line t Is required.
<br /> - - amount f
<br /> ,,
<br /> prehe
<br /> ' � � IIA.;g thereof mp C9v n"Lodl Iree sntl harrn:99a Iran eny aeniliry,.n e -ordancg« ,t tns pruvlslona of Sec.
<br /> The un' "d'' 3 n l;pg's seecll'nel Iv of o1 Sec.12.04.290 relating to the relocation sr removal c;said encroachment II
<br /> 1204040.l the i"l , ,",. the City
<br /> ICPye vii .0 .-
<br /> - y; !r 1 ,Bim i t na g CP n1696a]nas^C'open COmP''etgO hy '
<br /> II Ihp Nnr4 4x v+h' g hp NPrk arU t0 tde a CaJse of Act on 10 reCOUp the City 9 a%Denaea In;JrtIN BG�:g the WJr F.a^d for 011 Olhel COele
<br /> : : t..✓4.Ln .t _i.d Munlclpe! Cr.!e
<br /> O(Lod'ehsll have >ve IY qb t':and _
<br /> Signed __ - - -
<br /> Date_ _ roved sha 1 cause wor to cc
<br /> rsuance Cert'
<br /> ficate policy renewal a5 app
<br /> %Chapter 12.04 of the Lodi
<br /> Ja 11 U ri' to Tt+'s per.•;.! U granted subiecl to S,phr is ons J
<br /> ri egUlled IIr,Gr pyellle l't c,�:,;Urlty MunM:r:al Code and to al'general provillone and acpllCaol9 Sol l
<br /> sons as shuNn on the reverse side.
<br /> Oi_F3EN FAGI.E 5l10/91* Permit Approved: CITY OF LODI
<br /> Cartlllcatentlnsulamf`R1nLl)27 ExcIx-
<br /> comp,Gen 5J1�pol'Cy NO ---'
<br /> Automotive Policy No. - --— 7 Date
<br /> Referred to_ Gary 0U1'dOGk_ __. --Dale__ ❑ P6bllcAbove Ground
<br /> C ^_Date__— [I Public Underground
<br /> It Inspected
<br /> :` Date -»- 13 Private, to be malntalned m relocated by owner ea required.
<br /> rd completed 91048
<br /> ❑ Other Permit No.
<br /> Date—-- 7t
<br /> = Reviewed._---
<br /> Rbpnammn erlMlnq
<br /> Wnlle-Inepacior yellow.FlN Pink-Permine9
<br />
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