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09/21/2007 12:43 2094689324 SJCO PERMITS PAGE 01/02 <br /> APPLICATION FOR ENCROACINT PERMIT <br /> PLEASE PRINT <br /> 08/21/2007 <br /> Date _--- 0k')P7CCE UaE ONz,Y <br /> To: San Joaquin County JOB #_ <br /> Department of Public Works APN CR' # <br /> EXP. DATE <br /> Environmental_ Resolutions, Inc. VALID -w 7 x0 �301o 7 aRzvEwAYS: <br /> (Applic=t. Name) STREET � <br /> AREA 1 QUAD _ A)E <br /> 601 N. McDowell Boulevard TYP9 - <br /> (Railing Addrems) FORMS ���� e-?-,q <br /> Y <br /> NOTE' <br /> Petaluma, CA 94954 <br /> (City, state24 -Code) <br /> �r` <br /> 707-766-2000 '7o7-76G-2o1'j 7o7-338, <br /> (Area Code Telephone Number) <br /> Sketch (Detailed plains may be submitted) <br /> See attached Plat=_ 2 and photo for proposed vertical boring location. <br /> i <br /> E. C kEUi <br /> X. <br /> 0 PcD. 9 CZAFF(C . <br /> s <br /> The undersigned hereby applies for permission to excavate, cometruct and/or <br /> otherwise encroach on county'Higbway, Right-of-Way on the east aide of <br /> Hwy 99 Frontage Road agproX;.mately 1Q - _ feet/mils South.. <br /> of intersection of E. 2alimfyrna and 'Vwy 99 F-ronraaO-15 , by 'pe rforming the <br /> following work (description of work) : <br /> Two side-by-side, 2.25-inch diameter, vertical sg.LLborinqs will be advan ed <br /> to approximately 140 feet below surface gradF, using a truck mounted' i'r .. -� ri <br /> Soil borings will be: temporary cememt grout- ,lpnn <br /> completion and in accordance With R= rrPgnj- -_moms <br /> work will commence on or about within 28 days o r. ,Rr� g,�, pe. emit for approximately <br /> zdays -_J <br /> Lary-Z,i1.-''�c�' 0z`>-h l <br /> 1, the underswigned certify that I am the owner of the razpective property, or am <br /> qualified to represent the owner and agree to do the work described above in <br /> accordance with the rules, regul.atio", of Sax. Joaquin County and subject to <br /> inspection and approval- , <br /> i <br /> signature Applicant - TA.9.e <br /> KAaTER.D9\F££9C=L (5100) <br />