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--. -"-� -� - �vr rvv rvr . vv vv r �rr ra ry , �u� va♦ VL <br /> PLTCA•T1ON FOR ENCROACM0NT Alt'A.P . <br /> PLEA�9 PUNT <br /> Data 15 _Sep ember 2006 _ OFFICE, USSoNT,X <br /> To: san Joaquin County JOB # REQ' # <br /> Department of Public Works APN CF # <br /> MIke McLeod of Kennedy/Jenks Cons. EXP. DATE 1-10- d <br /> Inc. VALID•1 To L-10-07 . DRIVEWAYS: <br /> (Applicant Name) STREET <br /> AREA e.5C-g1-0,4J OTTP SE <br /> 622 Folsom St. TYPE <br /> (Mailing Address) FORMS SSIwaJ <br /> 'NOTE <br /> San Franciscp—CA _94107 _ _ AM AuzrNuj <br /> (City, sbate, .Zip Code) t o <br /> 415-243-2508 <br /> (Area Code - Telephone Number), VAN <br /> Sketch (Detailed plate may be submitted) <br /> Hwy 120 - Van Allen Road - Sexton Road -area� "rsc0, 1 AlsAal . <br /> See Attached Figure <br /> The undersigned hereby applies for. permisaion to.exca.vate, construct and/or <br /> otherwise-encroach on.-County.Highway Right-of-way•on.the � eider.-of,•• . .., <br /> see attached approximately see attache feet/mile <br /> of see attached , by'per€ormi ig the <br /> following work (description of:work) : Cone Penetrometer tests at designated- locations. <br /> Probe will be advanced on shoulder .next to pavement;:: Two, 2-in, diameter boreholes to. <br /> be advanced at each location. Upon completion each borehole will b6 groutect to, ground " j <br /> surface with neat cement grout. <br /> TraffiC plan attached. <br /> Work will commence on or'about 6' for approximately <br /> five days. oo <br /> Z, the ;undersigned c6rti.fy that I am the owner' of:the reepeetive property, or am <br /> qualifled to represent the owner and agree to do .the work described above In <br /> accordance with the rules, xegulations 'of San Joaquin County and subjecC to <br /> inspection and approval,. <br /> i <br /> e <br /> ignature of App1 cant - Title Date <br /> • M7E74A.B9\pD89CNDL (6/OO) . <br />