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If-ATInWR ENCROACHMENT PERMIT <br /> REC-AEP-Q VEu <br /> PLEASE PRINT: <br /> Date 10/5/2012 O C T 0 5 2012 OFFICE USE ONLY <br /> To: San Joaquin County FRESNO JOB# REF# <br /> Department of Public WWD/DPD APN CR# <br /> PG&E KAMRAN VAHABI EAP, DATE ON -i #VALID /3 TO 1 3 DRIVEWAYS: <br /> (Applicant Name) STREET 1r <br /> AREA '5rotJCr.*I QUAD 4:% <br /> 8 RIVER PARK PLACE EAST TYPE oLE.s <br /> (Mailing Address) FORMS W�.t) <br /> FRESNO, CA, 937210 NOTES <br /> (City,State,Zip Code) <br /> 559-347-5052 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> START CONSTRUCTION: 11-1-12 <br /> CONFLICTS 51 , 52 END CONSTRUCTION: 12-31-13 <br /> SEE ATTACHED DRAWING. <br /> PM 30649126 <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the EAST side of FRONTAGE RD approximately 150 FEET feet/mile NORTH <br /> of CLARK AVE , by performing the following work(description of work): <br /> EXCAVATE 5 BELL HOLES AND INSTALL 750'OF GAS MAIN <br /> 2 BELL HOLES AT 150'AND 900'NORTH OF CLARK AVE ON EAST FRONTAGE RD <br /> INSTALL 750'OF 2"GAS MAIN <br /> EXCAVATE 2 BELL HOLES ON WEST FRONTAGE RD TO CUT OFF AND RETIRE EXISTING GAS MAIN <br /> Work will commence on or about SCHEDULE TO BE DETERMINED BY CALTRANS for approximately 2 WEEKS days. <br /> (LAST QUARTER OF 2012,FIRST QUARTER OF 2013) <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 /> 10/5/2012 <br /> Signature of Applicant-Title Date <br /> E:IPUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT APPLICATION.DOC (01/08) <br />