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�O?q Kw rcvcI v cu <br /> PM:30898004 <br /> FEB 2 7 2012 <br /> APPLICATION FOR ENCR0AC11 IE-N'T PERMIT <br /> pLE�rF PR2� FPiESNO <br /> IT: OMD/DPD <br /> Date 02/21/2012 <br /> OI'FICE uS.E Orv�F <br /> To:, J�*3 JOZ� i n Count_J JvC s ��Ly�✓�,•,S . <br /> Department of Pu`,1_i c Works anz; <br /> -- CR, z <br /> PG&E Permit Desk Ern <br /> tiTiTD 4 t To DPI ELWAYS: <br /> (ApDI'cant'. ame} STREET r <br /> oA-If.. TREE c <br /> TYPE - CA-A&E W <br /> (L*zilir4 n<.eress; FORMS '30/�✓s� <br /> ✓ t' 1 <br /> _57 2 y NOTE �- <br /> 925/270-2�Wy' State, .zip Code) <br /> (Michael Thomas, MFTI@pge.com) <br /> '' (Area Code - Telephone Nlmiber.) <br /> SJcGtch (Detailed puns may. e submitted) <br /> TRAFFIC CONTROL PLAN <br /> SHALL BE AS PER <br /> CURRENT M.U,T C,p. <br /> See Attached Sketches <br /> Theundersigned -hereby applies for permission to excavate, construct and/or <br /> Other-w--se encroach on Couaty Highway Right-of-Way on the South <br /> Jahant Road Side of <br /> zPProfimateZy 790 . feet/mile East <br /> of Bender Road <br /> foliowin work• (description of work) : by performing the <br /> Location PG&E to replace rotten pole for network <br /> ��yy�� <br /> �� !1 <br /> e 'avc ri •.-F•„� i+�nc�ire/ <br /> ncroachment due to settina Peduipl ent <br /> Work will commence on or about -09/30/2012 for a <br /> 1 days: pp.roximately <br /> -T, 'the undersigned certify that 2 am the owner of the respective property, or am <br /> qualified to represent the owner and agree to do the work described above in <br /> accordance with the ru7Es, regulat-iOjis of San :Joaquin .County and.subject to <br /> inspection and approval: <br /> MFT1 for PG&E <br /> 02/21/2012 <br /> q--g-natua:-e of =__ . Z:-- <br /> untc <br /> r�,sr�.es•,.�gEse-mss cs/caj <br /> t y <br />