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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date January 2 i,201 1 OFFICE USE ONLY <br /> To: San Joaquin County J0B# A <br /> Department of Public Works REF# — <br /> APN CR# <br /> Wood Group Power Solutions EXP.DATE J <br /> '-- VALID J t# TO --� DRIVEWAYS: 1 <br /> (Applicant Name) STREET <br /> 15333JFK Blvd Suite 300 AREA <br /> 'G`,r` QUAD '�3a. <br /> (Mailing Address) TYPE <br /> FORMS <br /> Houston,Texas 77032 NOTES <br /> (City,State,Zip Code) -- <br /> Dave Somers 832 360 0449 _ <br /> (Area Code•Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> i <br /> , <br /> Y <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the Both side of west Schulte Rd <br /> of GWFTracy power Plant Access Road approximately 350 ft feet/mile <br /> by performing the following work(description of work): <br /> The description of work is Placing col r powered WARMING Signs in hotll dir tions on west Schult Road of rhP ru,c <br /> Power Plant access Rd. Trapy <br /> Wood Group is perforating an—upgrade to the GWF Power plant that will involve additional plant vehicular traffic in and out of he <br /> power p ant access roa . rs wor startc .—my c> an willa comp ete October <br /> 2131 T Work will commence on or about January 2011 _ <br /> for approximately 635 days. <br /> I,the undersigned, certify that I am the owner of the respective property, or am qualified to represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br /> Signature of Applicant-TiVe <br /> Date <br /> E AI&SY.N"(%Y&STER P5 EI:CR0.4rh4chn DERV i APPUCAT*'I DOC;utiro) <br />