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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 3/25/08. ' OFFICE USE ONLY <br /> To: San Joaquin County JOB # //OOOS REF # <br /> Department of Public Works APN CR' # <br /> EXP. DATE <br /> Annette DePauli VALID SIZ9 ael TO L 29/as DRIVEWAYS: <br /> (Applicant Name) STREET A e Groin 2c/ <br /> AREA /_opV QUAD AlW <br /> P.O. Box 201056 TYPE AO I VW/ et <br /> (Mailing Address) FORMS <br /> NOTE <br /> _ Stockton CA 95201 <br /> (City, State, Zip Code) <br /> 209-486-1374 <br /> (Area Code - Telephone Number) <br /> Sketch (Detailed plans may be submitted) <br /> See Attached Map Also <br /> The undersigned hereby applies for permission to excavate, construct and/or <br /> otherwise encroach on County Highway Right-of-Way on the west ._ side.of <br /> Micke Grove Rd approximately 1000 * feet/mile <br /> of the shoulder by -performing the <br /> following work (description of work) Temporarily waive the nirrent "No Parkin"" <br /> restrictions on the west shoulder of Micke Grnve Road to allow cars te-Park-gej3e-- icular <br /> to the Outer boundary fence of Micke Grove Park Cars par ed in this are -- would beendors <br /> who would be parked by 8.00 am (Start of event) tn- 1 ;pn n,,, ,end of evQat) -4ad NfeQld not be <br /> moving during that time Traffic monitoring with If aRQers Would be set up at each end. <br /> Work will commence on or about 7.00 am to 2.00 � 2� 20'::)8 for approximately <br /> 7hrs of only 1 days . on designated times. <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 a roval. <br /> Signature of Applicant - TitleDate <br /> 6U/ '� <br /> MASTER.PS\HERSCHDL (6/00) <br />