Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMT <br /> PLEASE PH NT <br /> Date CFFICE USE CNLY <br /> To: San Joaquin Ccunty JOB# ��[��p,s REF# <br /> Departrrmt of Riblic Vthrks ANN CR# <br /> EXP.DATE --- <br /> VAUD -2-013TO �1-q-zat DRIVEVWYS: <br /> (Applicant Name) STREET V Pee,-, <br /> 1(Zu� Pyr+'fps w AREA Cauan <br /> TYPE f �`�- '(Mailing Address) FM\6 <br /> NOTES <br /> (clry,State,zip code) <br /> r-r� <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be sub bed) <br /> �'..�• 1 W aft. �'►'aA- <br /> 13D�s� <br /> vis. <br /> a ro <br /> 1 C. a�- $aw.p r-t. Z Dew{ie ti <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Hghy a Rght-of Vay on <br /> the v side of r, M w,'Pa5N- Rd approximately Y,oro v le fas f <br /> of Dadds 2d iP resrdwc-e--, Z 2-f ct Mw'lpvsg- R-cl byperfumingthe fdlaMngwork(description dwrrk): <br /> A -(3( Wqo5 on cVhj l 1 " hales 7b eollee se.( h, WQvk arta., <br /> P ho Gs W;1t he. n`llcd every /5. - I'- flc- r cL df' S Paf hd/cam_ <br /> _T-r"FPC- OAA ra-I_w"11 &-L ref ,h plaet._0_prn tq- cul.rjwk�s . ��. orr/y( _rrS "s <br /> aPPro1< A e - w,V f- A,, /y �*e fon a . TI l_ w o r c,,•t c� w Y 11 6 t_. -- <br /> Work Wil corymench of or about Vu/;:s for apprcaimatrAy a days. <br /> I,the undersigned,certify that I am the o&ner of the respective property,or am qualified to represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaquin Canty and su4ect to inspection and approval. <br /> Signature of Applicant-Title We <br /> ea.e-v:sl.k��a+ca�axertr�.rrr��mooc iaiq <br />