Laserfiche WebLink
APPLICATION FOR PERMIT' <br /> Pel! Pam: <br /> f' <br /> Date 26-NOV 66 <br /> 0 <br /> oFFT =2 02MY <br /> To: San Joaquin County JOB # /fes REF # <br /> Department of Public Works APN CR # <br /> (�A <br /> l ;_i $XP. DATE i•1t•01 <br /> �` .� <br /> !!HD !'11• TO nRT fB- <br /> (APPlicasst 2Fea�s) S <br /> V cMIA <br /> is <br /> TYPE DAD <br /> (mailing Address) FORMS <br /> S tDck a_� ��b - NOTA <br /> (city, State, Zip Code) <br /> ZO..Z. - <br /> (Area Code - Telao:sa <br /> Sketch (Detailed plans may be submitted) <br /> Sundance Running Club of Stockton wishes to sponsor and hotel the CAUFOWU-10 road 10 mde and <br /> 10K running races on Shay, 11 January 2009. The starting time is 9:00 AM and a duration of three(3)hours <br /> expected. The proposed race courses would begin and end on the Vounds of San Jo4Wm Gmerd H0.1*at and <br /> utilise sections of Mwithey, Mathews an€1.Howard Roads. The ba=c course layout is s1mu on the attacbed <br /> duWm aDd will r0WM b mat cross traft 00 M80day,Mal raaom are posm. <br /> the two(2)water stations wili be set up alb the roadside on HowwdRoad at the 3 arad SmWepointsof the race. <br /> The Sundance Running Club can provide necessary signage to be placed at desk kaersections Wicating ghat <br /> a road race is in progress. <br /> All proceeds from the event(after expenses)will be donated to Team pox for Parkin M,s Reasearch. <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) : <br /> work will commence on or about / for approximately <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 alcove in <br /> accordance with the rules, regulations of San Joaquin County and subject to <br /> inspection and approv <br /> Signature of Applicant - Title Date <br /> MASTSB.PS\PSSSCBDL (6/00) <br />