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op�tUI!y COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> � 2 <br /> y' -t P.O. BOX 1810-1810 HAZELTON AVENUE <br /> STOCKTON CALIFORNIA 95201 LP Noy EP-07 159NE <br /> (209)468-3000 Date Issued: 06/08/2007 <br /> (_ <br /> FAX# 7 t:x <br /> 09)468-93_4 Piration Date: 08.01/2008 <br /> Job N <br /> ENCROACHMENT PERMIT (JE/C R 1 iso - <br /> R,/PM NO: CR 032426 <br /> To: JAI ANT FOOD N FUEL STOP,OP,INC <br /> Encroachment Type: WIDENING TURN RADIUS' <br /> 24323 HWY 99 FRONTAGE RD.WEST -- <br /> Location: BOTH SIDES OF CHF_,ROKI:E LN. a JAHANT RD. <br /> ACAMPO.CA 95220 - - <br /> In compliance with your request of <br /> 02/26/2007 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject to all the Terms,conditions and restrictions written below or printed as general or s <br /> pecial provisions <br /> on any part of this form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way, not from right of <br /> way(border)lines. <br /> The Department of Public Works, Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> California Division of Industrial Safety and Cal-OSHA. <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which mightbe ed,placed and maintained <br /> a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provid <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein,all debris, lumber, barricades,or any excess material shall be removed and the in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice jobsite left ft <br /> of <br /> completion provided by Grantor. <br /> Special Instructions: SEE ATTACHED SKETCH <br /> I RAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> CONTROL,DEVICE(MUTCD)CALIFORNIA SUPPLEMENT*****CONTRACTOR SHALL SAW-CUT AT LEAST(- <br /> FOOT BACK***** ++++THIS IS THE LAST EXTENSION.... <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $350.70 Department of Public Works <br /> FORMS: SS/WW, R-29 <br /> By <br /> W1IITE Permittee <br /> GOLDENROpPermit Section <br /> -PWD Central File <br /> YELLOW Field Inspection <br /> PINK Permit Section PW 27 <br /> Access\PermitsyForms\Encroachment Permit <br /> - - Revised 07/2000 <br />