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P5- l o0 Z( <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date November 10 , 2010 OFFICE USE ONLY <br /> To: San Joaquin County JOB# REF# <br /> Department of Public Works APN CR# <br /> L. <br /> Woo dbridgelrrigation District EXP.DATE /9 20//VALID �/./ / �o )W, if.,Zo DRIVEWAYS: <br /> (Applicant Name) STREET 'e 5l .rdA'e d <br /> AREA ZV QUAD AIA,) " <br /> 18777 N . Lower Sacramento Road -TYPE e,,,ee <br /> (Mailing Address) FORMS 5 29 <br /> NOTES <br /> Woodbridge , CA 95258 <br /> (City,State,Zip Code) <br /> (209 ) 369-6808 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> See Attached Detailed Plans <br /> Also , please contact Jeff Sanguinetti w/A . R . Sanguinetri & Associat s <br /> at (209 ) 477-0899 , 1150 W Robinhood Dr , Ste 1 --C , Stockton , CA 9520 <br /> with any comments and/ or concerns regarding the plans/ specification <br /> The undersigned hereby applies for permission to excavate,construct and/or other-rise-ncroach on County Highway Right-of-Way on <br /> both sideof_Lower. Sacramento Rd approxima-,&% 1330 feet/mile north <br /> of Mettler Road by perfom;ing the following work(description of work): <br /> Jack & Bore a new 60" diameter pipe _beneath__.the.__ existing twin 24" culverts <br /> to convey water to the agricultural cormunit_y and City water treatment <br /> plant . Abandon the existing 24" culverts_in-_pla_ce and fill them with sand. <br /> See Plans and additonal project description page attached hereto. <br /> Work will commence on or about _ .i a n u a r 2 0 11 ximately 20 days days. <br /> I,the undersigned,certify that I am the owner of the respective property, or am q,.r.:;!ti represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaqui: and subject to inspection and approval. <br /> Signature of Applicant-Title Date <br /> E..IPUBSV.WNIA/ASTERPSIENCROACHMENT PERMIT APPLICANON DOC (01.'08) <br />