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APPIiICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 3/26/2008 OFFICE USE ONLY <br /> To: San Joaquin County JOB # A4295- REF # -- <br /> Department of Public Works APN CR # <br /> EXP. DATE. Li <br /> RME Incorporated (Woodbridge VALID T6 1.514-0 DRIVEWAYS: <br /> (Applicant Name) Winery) STREET <br /> AQUAD /YE <br /> 5950 E. Woodbridge Rd. TYPE <br /> (Mailing Address) FORMS <br /> NOTE <br /> Acampo, CA 95220 <br /> (City, State, Zip Code) <br /> (Area Code - Telephone Number) <br /> Sketch (Detailed plans may be submitted) <br /> (SEE ATTACHED 'FLANS) <br /> Location of work; <br /> Work will . at the, northeast corner of the Woodbridge. Road <br /> north bound on-ramp frontage road and the southeast intersection <br /> of the Woodbridge Road and the southbound off-ramp frontage Road. <br /> The undersigned hereby applies for permission to excavate, construct and/or <br /> otherwise encroach on County Highway Right-of-Way on the * side.of <br /> approximately feet/mile <br /> of by `performing the <br /> following work (description of work) Widen the paying and the shnul dpr at- <br /> the <br /> tthe intersection returns to allow large- trucks to „GP t,hai—rnuta <br /> Work will commence on or about May 1st 2 008 for approximately <br /> 10 days. <br /> I, the undersigned certify that I am the owner of the respective property, or am <br /> qualified to represent the, owner 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 /> �Ai ture of Applicant - Title Date <br /> p"ev <br /> MASTER.PS\PRESCBDL (6/00} <br />