Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date . f` OFFICE USE ONLY <br /> To: San Joaquin County JOB# � REF# _ <br /> Departrn int of Public Works APN CR# _ <br /> EXP. DATE <br /> Pacific Gas and Electric Co. VALID ��,�, TO �� DRIVEWAYS: <br /> STREET ,ch© <br /> P.O. Box 930 AREA 2:v` QUAD I <br /> Stockton, CA 95201 TYPE„ <br /> FORMS <br /> NOTES <br /> (Area Code-Telephone Number) - <br /> Sketch (Detailed plans may be submitted) <br /> Traffic Control Plan <br /> See attached sketch. Shall be as per <br /> PM s `` _ current M.U.T.C.D. <br /> Notif. California supplement. <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the side of approximately_ feetfmile <br /> of by performing the following work(description of work): <br /> 14 <br /> � eS '"r:ivC <br /> Work will commence on or about 1441 t t for approximately t r 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-Title Date <br /> E:WU&SV.WKUAASTER.PSIENCROA('MEN PERF.1ITAPPLICATION.DOC (01/08) <br />