Laserfiche WebLink
r <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 10-26-2012 OFFICE USE ONLY <br /> To: San Joaquin County JOB# //000,T REF# <br /> Department of Public Works APN P 0 CR# <br /> EXP.DATE 2- /,S1Z <br /> Amland Corp /Linh Tran VALID / i2 T 2 t5" 2 DRIVEWAYS: <br /> (Applicant Name) STREET +Vr 6 ' <br /> AREA pdr1/ QUAD X ' <br /> 3168 Knights Bridge Road TYPE AAUV4 � ' <br /> (Mailing Address) FORMS g-✓25 25' <br /> NOTES <br /> San Jose; Ca 95132 <br /> (City,State,Zip Code) <br /> 408-712-3217 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> Please see attached. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the NE & SW side of Frontage Road approximately feetlmile 1 <br /> Of , by performing the following work(description of work): <br /> Work area will be approximately 0.2 miles NW from Frontage and Olive extending approximately 0.6 miles NW. <br /> Type of works are: Horizontal boring, install conduits, install pull boxes <br /> Work will commence on or about 11-1-2012 for approximately 30 days. <br /> 1,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 /> Project Mananger 10-26-2012 <br /> Signature of Applicant-Title Date <br /> E`FJEuVAY,VAS'E?P:E'ICP.CACHL(J:TPEPVTAMiCAti]N DOC (CIV) <br />