Laserfiche WebLink
11'13;'2003 Fay:3y 8475515 OAKDALE SVC CTR PAGE 02/03 <br /> 11/13/2008 10:22 X'9,4689324 SX0 PERMITS PAGE PAGE 01/01 <br /> APPLICATION FOR-ENCROACHMENT P98MIT <br /> PLEASE PRINT: <br /> Date �X f.�.'� OFFICE U8E ONLY <br /> To. San Joaquin County I JOB# , REF <br /> Department of Public worksAPN <br /> CR� <br /> EXp.DATE j <br /> VAl,ip +I <br /> TC AL DRIVEWAYS: <br /> (applicant Name) + STRE5TAREA <br /> —` ! <br /> II Ak Ir TYPE QUAD - _ ! <br /> (Maffing Address) — FORMS <br /> 0+$!G z' NOTES <br /> (City,State,21FCode) <br /> .T_7A - : r-77 <br /> (Area Code,Telephone Number) ----4 <br /> i <br /> Sketch(Detailed pians may be submitted) <br /> 1` <br /> The Undersigned he►w_by applies to,permission to excavate,construct and/or otherwise encroach on County Highway ' ht,af• ay on <br /> the�^�side of G�n� i"r!� /�'„� spproxlmately <br /> of <br /> _ S� to ml! •4.�� <br /> by performling the following work(description of� work); <br /> Work will ccmmence an or about <br /> for approximafely days <br /> i,the undersigned,ced4(that I am the owner of the respective property, or am qualified to represent the owner and agree to do the <br /> work descrbed above in accordance Wlth the rules and regulations of San Joaquin County and subject to inspection and approval. <br /> 4Svature of Applicant�T'itie — <br /> "rfFlli::h TEueLn-Es�n;TioncMAFMr^FPMiT,1PP�CnTer,,4,-M:VIa - Date <br />