Laserfiche WebLink
. 1 <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date /'� OFFICE USE ONLY <br /> To: San Joaquin County JOB# X13 005 Z-Co REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE I I rd 1-2- <br /> Pacific Gas and Electric Co. VALID 12 Tb DRIVEWAYS: <br /> STREET '=;LAM e:r- -ST. " <br /> P.O. BOX 930 AREA QUAD RIS " <br /> Stockton,, CA 95201 TYPE -be LLoLa <br /> FORMS 1Ny� R, ZQ <br /> r NOTES <br /> 20S'-- F e12- ✓1/59 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> Traffic Control Plan <br /> See attached sketch. Shall be as per <br /> PM 343 C7 �/BD I current M.U.T.C.D. <br /> i <br /> Notif. OD�o z5 2D f California supplement. <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the &4S T side of 1/1-f3F1tr Sr approximately /S feetlmife �vrlre/ <br /> of ,t2vnleis -ST_ sioc rron/ by performing the following work(description of work): <br /> lys/ Al, Fi�BE21' ST. — COL ieAlTy T1� �sY,ULlS��' /tea <br /> ZEXC,4 <br /> cur oFF 44s srlZriitE <br /> Work will commence on or about /3-/Z for approximately iLo 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 /> 6.45 4 ISE <br /> Signature of Applicant-Title Date <br /> EAPUB SV.WKNAASTER.PSIENCROACHMENT PERMIT APPLICATION.DOC (07)08 <br />