Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: ' <br /> Date /- /.3 —/,Z OFFICE USE ONLY <br /> To: San Joaquin County JOB# 1, 665z-(P REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE 51191z- <br /> VALID <br /> ! 1yVALID 2 to TO' %M2 DRIVEWAYS: <br /> Pacific Gas and Electric Co. STREET �vE . <br /> P.O. BOX 930 AREA S77De1tMQUAD C5 <br /> TYPE � <br /> Stockton, CA 95201 FORMS <br /> NOTES <br /> 9y -l�98 <br /> c <br /> (Areh Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> Traffic Control Plan 1 <br /> See attached sketch. Shall be as per <br /> PM 3oS,?,8 7;z2 ' ' current M.U.T.C.D. <br /> Notif. /0S8G3yS5 California supplement. <br /> The undersigned hereby applies for�ermission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the F-14-sr side of S. 106 14L-46, approximately 26 feet/mile Nosh' <br /> of 2D 57 eX72:2 I by performing the following work(description of work): <br /> CUT AFF G/�S S�:i2c J/LC Tv 1 O G! S. QLIUe 44JS'. <br /> EXC4 y/7 TE /-&Xr ,u� /),7.4//,/ oFF• S�5flvlcE <br /> EXe�v�r�D.t1 �a 74/4E PL/9c� 1:L19c4 fit/ f'.4tJ�iY�E.yr <br /> Work will commence on or about �6;- /2rB -/2 for approximately 91D 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 /> FAPU8-SV.Wft$ASnUSIENCROACHYFNTPUWTAPPL1GTIDKDOC @7108) <br />