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`vL_ 1dL_U <br /> PM:30898004 FEB 2 7 2012 <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PEASE PRINT: FRESNO <br /> OMDIDPD <br /> 02/21/2012 <br /> Date OFFICE. USE 0-NLY <br /> • Iy <br /> To: San JoaUi n Count-V JOB r 7.Soas2- <br /> - = <br /> Department of Public Works PpN CR' r <br /> EXP_ LET In. <br /> PG&E Permit Desk LP.LID Z DPIVEwaYs: <br /> CA�Ppl-tC;=rLt Name) STREET <br /> ' V50: <br /> ' AMA' QUAD <br /> TYPE -�SCE CE <br /> ai?''r_g ii de.:es s) FORMS '9S• <br /> NOTE <br /> 925/270-2Wy' state, .zip Code) <br /> (Michael Thomas, MFT1 @pge.com) <br /> (..zea Code - Telerhone Number) <br /> Sketch (Detai led plans 'may be suubmiited) <br /> • ' TRAFFIC CONTROL PLAN <br /> SHALL BE AS PER <br /> CURRENT M.U.T.C.D. <br /> See Attached Sketches <br /> The Lmdersigned hereby applies for permission. to excavate, construct and/or <br /> other-prise encroach on County Highway P._ight-of-Fiat/ on the West side of <br /> Davis Road approximately Lot4: 0.50 mi feet/mile South <br /> of Peltier Road �oc5:0.55 mi by performing the <br /> fol low,= work (description of work) _ <br /> Location T& 5, PG&E to replace rotten pole for network reliah_ il�_Sz&F�havA.prtial lane <br /> closure/encroachment due to setting Pnt,nmPnt and Jas transmission line in road <br /> work will commence on or about -09/30/2012 for approximately <br /> 2 days. <br /> I, 'the undersigned certify that I am the owner of the respective property, or am <br /> cruali ied to represent the owner and agree to do the work described above in <br /> accordance with the rules, regulat:ioiis of San Joaquin .County and subject to <br /> inspection and approval. <br /> MFT1 for PG&E 02/21/2012 <br /> 5-96 tL..-.Y�C v L l^l. iTitn — Date <br /> u ���.t.�s V aa <br /> rlsrz=..es',.:-eesca!, !�/coi <br /> 1 <br />