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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS <br /> DRIVEWAYS AND PAVED FRONTAGES Received By: <br /> PERMIT APPLICATION CR#: <br /> APPLICANT OFFICE USE ONLY <br /> Name: City of Stockton <br /> Address: 11373 N. Lower Sacramento Road JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: Lodi, CA 95242 APN FEE DUE: <br /> Area Code -Telephone Number: (2 0 9) 937-8994 EXP.DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: QUAD <br /> Parcel Owner's Name: City of Stockton TYPE: <br /> Site Address: 11373 N. Lower Sacramento Road FORMS: <br /> City,State,Zip Code: Lodi, CA 95242 NOTES: <br /> Area Code -Telephone Number: (209) 937-8994 <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: CDM Constructors Inc. AGRICULTURE: @FRONTAGE <br /> Address: 11373 N. Lower Sacramento Road COMMERCIAL: <br /> City,State,Zip Code: Lodi, CA 95242 INDUSTRIAL: R/W <br /> Area Code -Tele hone Number: (209) 365-4631 RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> west sideof N. Lower Sacramento Road approximately 1350 feet feet/mileouth <br /> of Mettler Road byinstalling a paved entrance road <br /> for the City of Stockton water treatment plant staff and visitors This <br /> is the North entrance for the plant <br /> commence on or about August 15, 2011 for approximately 20 days. Work will <br /> SKETCH(Separate sheet may be submitted) <br /> Please see the attached design package of drawings and specifications <br /> for details . The design package includes information on both the North <br /> and South entrances . <br /> 4, � �a _t_;�?n �+ 40 '1d3C <br /> 1�r I(.rjVOf NV <br /> Will this project be self-installed? X YC—S,� NO Contractor's License 671513 <br /> MaCENTRALSERVICES\CLERICAUPUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT ORIVEWAY.DOC (01/081 Paoe 1 of 2 <br />