Laserfiche WebLink
r <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: ' <br /> Date 3- z l - I.Z OFFICE USE ONLY <br /> To: San Joaquin County JOB#- �,3C ,a^Z,.lo REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE 1 <br /> Pacific Gas and Electric Co. j VALID DRIVEWAYS: <br /> o 1 i <br /> STRE <br /> ARAL--MY4 AWS.' <br /> ET P.O. Box 930 I AREA9 rmc e&e4 QUAD (,JS <br /> TYPE ot.�e <br /> Stockton, CA 95201 <br /> FORMS Lvu, A_2-7 <br /> " NOTES —� <br /> (.dog) 9y2 /y9B <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> . I <br /> Traffic Control Plan <br /> See attached sketch. ; ; Shall be'as per 1 <br /> PM 3v91197y current M.U.T.C.D. <br /> Notif. California supplement. i <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the SDUT// side of !-//9 2EL76ti equE . _ approximately 2q2 feefti e w6 sT <br /> of Fxs_SIyD 14clE , . STOGK7''A1 by performing the following work(description of work): <br /> 1733 LAJ. 1-11.1ZEL7-0AJ ALE, <br /> EX CAU/a71C 61gS 1"41A Y /-IIL! ) -uT oFrc SE.Qv1e'65�. <br /> ALL GJWZI� 7v f3E L)c"E -2;tl t)i2T ligeA. <br /> Work will commence on or about y-16 - .2U/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 /> 6AS R.D.E. <br /> Signature of Applicant-Title Date <br /> E'NUBSV.WKWASTER.PSIENCROACNMENTPERMfr APPLICATION.DDC (01108) <br /> FS. a <br />