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CITY OF ESCALON .n-9 V
<br /> 'Permit`No` ` t
<br /> STANDARD EMR0AC1JAMNT,V9RIVIIT APPLICATION
<br /> Permission is requested to encroach on City of'Escalon right-of-way as follows•-'
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<br /> Name of Applicant 'Rleinfelder' ' ' Phone No' ( 0707) 429-407Q_ RT
<br /> ' Address. 110 Railroad Ave. City Suisun State: CA Zip J
<br /> v9�458 1742
<br /> Location of proposed encroachment
<br /> Street Name McHjmn=z -- Cross Street"varies PoruonofR/W _ N/A
<br /> Work to be performed by X Own Forces, _Contractors r:,cgst Cost of Nork•
<br /> ' SEPT. 20, 199 6
<br /> Est. starting date Est. completion date
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<br /> t�Var1011S oerti es. along - r
<br /> Description of proposed project(Attach 3 sets gfrplans;rspeqs� ,cales; maps, etc )
<br /> ' the proposed 2+Ich&iry , HWY, 120 rec'onst:ruction' see attached. r;�y
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<br /> Excavation Max depth , ' S0 ��ft•)-•Avga. depthLr r � � 20_f�t 1 Length bore � Surf'sect ' varies
<br /> Pipelines Dram ria Type n/a Product n/a Pressure/Voltage n/a
<br /> Is any work being done on applicant's property? 'X Yes' ' No (If yes, briefly describe) bore testing r
<br /> will be tmade on each I�azd ;Ov as{�properti es for wangles"of soil.
<br /> Is a county/state/other agency involved? Yes3 _ No Of yes;have other permits and approvals been secured?,
<br /> _ Yes No) 3 ,,
<br /> The undersigned agrees that all`'work`will be=done' in accordance with the City of,Escalon-encroachment,pernut r
<br /> ordinance and supplemental conditions'thereto as well as other applicable rules and regulatxons'of the City" fEscalon
<br /> and that all work done hereu er-wilLbesu ct to inspecn and approval
<br /> Authorized Signature
<br /> Title Senior Geologist _ - -_ Date June 19, 1996
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