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CITY 6F] SCA LON —� <br /> { ' <br /> STANDARD ENCROACIVVIFNT PFRMIT APPLICATION <br /> Permission is requested to encroach on City of Escalon nght-of-way as follows <br /> ' Name of Applicant 'Kleinfelder Phone No : ( 0707) 429-4070 <br /> Address- 110 Railroad Ave. City Suisun State. CA Zip 5 <br /> 94585;1T4 _ <br /> ' Location of proposed encroachment. <br /> Street Name Cross Streit v Poruon_ofR/W <br /> Work to be performed by X Own Forces Contractor, est Cost of Work, `.Y <br /> Est starting date a m7NE Fst. completion date: SEPT- 201 199 6 <br /> ' �• �r �oPrtzes along <br /> Desch etc:tion of roPosed roJect Attach 3 sets of lans,s e <br /> the proposed 14chenty4 , HC++IY. 120 reconstruction see attached. <br /> s .art -;r� i",.. , r ! . ^ + f ('il.\.t • , t '��; <br /> Excavation Max depth50`_fft,} 'Avg depth 2 Length bore Surf,sect varies <br /> Pipelines Diam _ rVa _ Type rI/a Product n/a PressurelVoltage ti/a <br /> Is any work being done on applicant's property? X Yes 'No Of yes, briefly describe) bore testing ` <br /> _, <br /> will be made on each �a.ndiva.&Lal,prop t�.es icor smples of soil. ^ <br /> 1 Is a county/state/other agency involved? __X_Yes _No '(If yes,'have other permits and approvals been secured? <br /> Yes No) +;Y <br /> The undersigned agrees that all'work`wdl be-doue in accordance"with the'City of -scalon"encroachment permit + <br /> ordinance and supplemental conditions thereto as well as other applicable rules and reguladons ofthe City of Escalon <br /> and that all work done hereu a wd a su t to inspeW and approval <br /> Authorized Signature: - <br /> r, t. .. �- .,�•rr,Z., , C . .!r .. ..l.�,r � ,;1�.- is - '��t �.**_! Y,a� , <br /> Title _Senior Geologist _ -Date. ane 19, 1996 <br /> pt <br /> _�fi�CdS&CcLlOnMinor Work class <br /> ctdSurvi �S�- aF'enC8::1:.�' +t` .s wS ;f p I <br /> r iL� rr�ry G�•�` •.. r �+ r^.fed <br /> Flag, baaner, docorauon zcm0 <br /> ' �� tParada. ce�abratioa _ , P. <br /> -Temporary signal <br /> � <br /> ' Utility hookup ,R <br /> Sidowalklgutter <br /> Residential driveway 1 =' .`- { •h . t�y <br /> +:R Mai�i ( J Laaauoa/ nStruCCioa Of 411� <br /> t .LVa D> <br /> .fir -ir� R 'M r <br /> app rp c r ' n"°�en� zs7� <br /> x other' test bors.zxg.(vertiCalyif, <br /> •�r <br /> PIIBLIC WO tKS`summ TEl` ma'*Il]ST "w .x'x� �°;;�,��s. •-� ` ' s <br /> $,lIOI1RS $M , <br /> WPIC <br /> (209) 838-3584 <br /> VA4 <br /> 6T� �V'} : µ a: t4`+l '7:_ ' T't^f ✓y C< 3p, iy <br /> 1 sr r . q 3• SIZE REVE' C Y ;�►+�a r +?%y JisE�?�'„a`Fr <br />