Laserfiche WebLink
rHUG rJli t71 <br /> Pacific Gas and <br /> Electric Company <br /> t4l� 5555 Florin-Perkins Road <br /> Sacramento,CA 958264870 FOR ENCROACHMENT PERMIT <br /> Delia Z.Solorio 916.3863.5266 <br /> Senior Engineering Estimator Internal!: 721.5266 <br /> GTH Cellular:916.919.3811 <br /> Fax:916.386.5288 <br /> Internet:dzsl@pge.com OFFICE VSE ONLY <br /> JOS_# _3x55_- /A REF # <br /> uepartmer�t of Qubll.c Works APN CR' # <br /> EXP. DATE <br /> VALTD TO DRIVEWAYS <br /> (Applicant. Name) BxRF>�T NSG D, <br /> jS �73S �r_�t-C„ F't�? r_.tiS ��(� ARZA, %7Yc�2��r ) QUAD <br /> TYPE <br /> (Mailing Addreea) FORMS JW <br /> NOTE <br /> (City, State, Zip Code) <br /> (Area Code - Telephone Number) <br /> Sketch (Detailed plane may be Submitted) <br /> Izc�ur i�co PF;c��u 4�CY� G�,J Shu epi �J w <br /> V(11i ) cxvt y TYC.d1G. Cc.J Nzc t� i� l F�Lw� Ac� � ro �.a�1 b� r��:y7 <br /> The undersigned hereby applies for permission to excavate, construct and/or <br /> otherwise encroach on Count; Highway Right-of-Way on the EosT� wt�i side of <br /> HI PC CC) approximately <br /> o <br /> feet/ t.� r1a d <br /> i: -Mc�l'��LuMr1.E �t�� _ <br /> following work (description of work) La �c;�r2.c�c.by perf orming the <br /> Work will commence on or about N^, lZi`Z,ea� <br /> ± i4�D_ days , for aPPXoXimately <br /> T, the undersigned certify that T am the owner of the respective property, or am <br /> q-lalif:•ed tc a:epre89nt the owner and, agree to do the work described above in <br /> accordance with the rules, regulations of San Joaquin County and subjecl: to <br /> ;..nspection and approval . <br /> CPc� f Co os <br /> 9i gnature f APP scant Title <br /> :' mate <br /> 11AS FR.P.0\711"CTUT, Woo) <br />