Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: ' <br /> Date OFFICE USE ONLY <br /> To: San Joaquin County JOB#- REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE 2 <br /> Pacific Gas and Electric Co. VALID z i2 0 �� L DRIVEWAYS: <br /> STREET <br /> P.O. Box 930 I AREA -T10r-1e t,A/QUAD _ <br /> ya!E <br /> Stockton, CA 95201 TYPEFORMS <br /> NOTES <br /> i <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> I <br /> Traffic Control Plan i <br /> See attached sketch. ; ; Shall be as per <br /> PM 3vB'73?/'8 ' current M.U.T.C.D. <br /> Notif. California supplement. <br /> /o5B�3 Y54 f <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the E17S7- side of S. LsY12 <br /> v ' /J�/GCLES 14LIe approximately feet/wAe SDUTIl <br /> Of— /-1A zEL rD,v /9LJZ. SryGKry,L1 by performing the following work(description of work): <br /> C[/T <br /> D.,-,z7 GAS TJ /792 4-J. /y/4Zz5L7Z)A4- <br /> /AUC <br /> E�CG.4tJ/-! r-22E- //yLe GRAS 01/f/A/ 4AlD Gc.T a,�F SL1L[J/c <br /> 19LL Z—)ofZl< iD 3,65 8oAJz5 Lel LlIlL7` /�fZL=�4 . <br /> Work will commence on or about G FC23 -/2 for approximately 90 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 /> 01,ltalz' GAS -/-tic 2 <br /> Signature of Applicant-Title Date <br /> ESPU8-SKWft&STERPSU0*A0WENT PEW APPMAT10NA0C RV08) <br />