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I✓ta���Ir)'��ii��: <br /> lJf+ 1/26/12 _ <br /> -- .OFFICE t1S�e�1lJl:Y <br /> 10: San Joaquin County <br /> JOEL 4t,J --730" REF 4 <br /> Department of.Public Works APN <br /> CR <br /> PG9E JIM FISICARO - GC LINE DEPT. ) Ems`DATE - Ir- 5 nZ <br /> (ApplicantNam <br /> VALlD _ / -26 TO 2 /�5`-2D t DRIVEtWVS: <br /> e) STREET <br /> GSC Q W <br /> 4040 WEST LANE AREA UAD CTYPE <br /> (Mailing Address) FORMS <br /> STOCKTON, CA 95204 NOTES <br /> (City,State,Zip'Code) <br /> (209)942-1780 <br /> (Area Code Telephone Number) <br /> Sketch(Detailed Plans may be`submitted) <br /> REFERENCE JOB NO. PM 30840507 <br /> MIKE STILES PGSE FOREMAN (530)906-7177 <br /> JIM FISICARO WORK COORaINATOR PGSE @ STOCKTON (209)942-1780 <br /> The undersigned hereby applies for_�ppermission to excavate,construct and/orotherwise encroach on County the •S� �- side of OAKRIDGt fUAY Highway Right-of-Way on <br /> Of 111,mr W 0 approximately So c) feet/mile <br /> PG&E WILL BEREPLACING A. POLE RE R OAKR LJApy, S UCKtTeONllowi��iyi�rkldas��ti��G �2UIP. <br /> WILL BE SET UP - UAKRIDGE WAY $ETWEEN FA RGt MM I'RA <br /> LANE TO THRU TRAFFIC. STATEGUI�E SAFETY WILL PR . <br /> WILL SET UP. tUORK_ SITE PROTECTION DURING THL,DAY .THE WORK IS SCHEDULED. LOCA RESIDENTS AND <br /> BE NOTI rIED.*IN ADVANCE ,OJ OLfR WORK: TS WILL <br /> Work will commence ori brabout... <br /> for approximately <br /> I,the undersigned,certify that I am the owner of the respective property,or am ualified towner days. <br /> work described above in accordance With the miles and regulations of San,Joaquin County and subject to inspecand tion an approval. <br /> e <br /> t� <br /> Signature of Applicant Title - <br /> Date <br /> E1Fi1&SV.rihVJASTEtF-g!Ciffi4CYJnc rt F�1 WirAT►IODC(p�,� <br />