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3 csq x:11 y <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date <br /> OFFICE USE ONLY <br /> To: San Joaquin County JOB# '73x> 2.,- REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE <br /> VALID !n f ® 0 2j� DRIVEWAYS: <br /> (Applicant Name) STREET L - <br /> 11�9 <br /> AREAg,eIUAD <br /> TYPEp�q � <br /> (Mailing Address) FORMS <br /> f, NOTES ` <br /> (City,State,Zip Code) <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highly Right-of-W <br /> the E .; <br />