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APPLICATION FOR ENCROACHMENT PERIPCT <br /> PLEASE PRINT. <br /> 0 CE 6SE CNt- <br /> FF1 <br /> Count <br /> San icaquin y R cE F <br /> DeparTmar,, cf Public11orks ARN CR# <br /> DATZ .09 <br /> AaRoDRP <br /> _f <br /> TO VE"MAYS: <br /> (Applicant Name) i STREET MA40 <br /> `REQ 57'aGsEfty✓ <br /> QUAD $60' <br /> V� <br /> 'T'YPI= <br /> (Mailing Address) <br /> \C)T E S <br /> (City, State,Zip Code) <br /> (Area Code-Telephone Number) <br /> '.Deailedl pi-�;rs may Its sL;brnifted; Note: not to scale <br /> 121 <br /> ko,!c I'l-a"I.sition Street <br /> SideAalk Ti-ansition <br /> i ro 11 —7q Guttei- <br /> Sidewalk <br /> 25' <br /> Dx-h-ewa-,- <br /> Top view <br /> .re �ers !, Y,e,��' heren,lapp!'esTor Nermijssion to excavate, --onstruct -0 aI'L ji-Iraia-v Ro"),;-CfJvvay cr <br /> Sanfablo Wy. ar, <br /> P�Ovmateiy <br /> Der-o,,mirg thefoii3w'nc we 1,cesa,,pk,c-vvcrk',, <br /> When the C-11TY repaAed SanPablo WN". They gnmnd fie road hv tho,_,Urter but not the <br /> M-, motor home now hits the higher crown when hackinz;� Lit-ivels.out n. <br /> Solution: Install 3- I, <br /> '- rectangle 6" X '- rectangle steel tubing in;utter itnt!gJaVL' )VVI,it to rase the tnlrl-�ition fnan the gutter ti,the toad.T his will allomF Inv t4;back nt-v"motor home out of rr,,. <br /> 3ir, Cr aocut Auoust 4th 2008 <br /> g <br /> d�rs grlao 9,,fifv !hat ' am 'he owner of t')e respective prope-14, c, am qualified -epFesert`,e a, &gree flo ]Jo t�- e <br /> ,,vc de�;Ilntjed aln--ve in,2`ccord-f-:�ce',,vith the rules and Fecul2tions c�, San�cao_i-:r Co,.,�T'v and subliec;to irs,pec��or arproval. <br /> Signature of Applicant-Title <br /> Date <br />