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APPLICATION FOR. EXCROACMMNT PERMIT <br /> PLA&61 PRINT <br /> Date 4/15/2008 OFFTCZ CeZ ONLY <br /> To: San Joaquin County JOB 0 7L22701:3 PEE # <br /> Department of Public works API CR <br /> AT&T CALIF-JEANNE WILDE FXR. DATE jo-i5-06 <br /> VALID 6±c TOio-rs�OBS DPXVXWXYS.. <br /> (Applicant Nana) STRBET l/©�!/ �;�r✓ P�'D � <br /> 2300 E EIGHT MILE= RD AREA�� ` <br /> TYPE <br /> (hailing Address) FORMS <br /> STOCKTON 95210 NOTE —� <br /> - (City, state, Zip Cada) <br /> 209-474-4759 <br /> (Area Code - Telephcae Nhmibsr) <br /> Sketch (Detailed plans may be submitted) <br /> ATTACHED <br /> The undersigned hereby applies for permission to excavate, construct and/or <br /> otherwise encroach. on C'o'unty Iffghway Right-of-way on the SOUTH side of <br /> VON SOSTEN RD approximately 630 feet/refit WEST <br /> of GRUNAUER RD <br /> by performing the <br /> fallowing work (description of work) : <br /> TO PLACE 90"x68" CONCRETE PAD THAT WILL SUPPORT AN ELECTRONIC CABINET <br /> 48 HX50 WX26D TOGETHER W ATTACHED POWER METER, TIE INTO EXISTING _ <br /> SAI WITH 32' 1-4" PVC AND TO POWER W/9' 1-3" PVC. <br /> Work will commence on or about AUG 1, 2008 <br /> for approximately <br /> 45 <br /> Jaye. <br /> I, the undersigned certify that I am the owner of the respective property, or am <br /> qualified to represent the oomer and agree to do the work described above in <br /> accordance with the rules, regulations of San Joaquin County and subject to <br /> inspection and approval . <br /> Si u.re of plicant - Title Date <br /> .w'c77R.CS•.rsrFC1-�L <br />