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1 r <br /> RECt!fVffff <br /> R ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 10/5/2012 OCT 0 5 2012 ' OFFICE USE ONLY <br /> To: San Joaquin County FRESNO JOB# "��'�� REF# <br /> Department of Public W6fflD/DP APN CR# <br /> PG&E KAMRAN VAHABI EXP.DATE <br /> VALID 21 /5 TO f N-0 DRIVEWAYS: <br /> (Applicant Name) STREET . <br /> AREA A/ QUAD <br /> 8 RIVER PARK PLACE EAST TYPE L� <br /> (Mailing Address) FORMS <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 /> CONFLICTS 16 START CONSTRUCTION: 11-1-12 <br /> 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 SOUTH side of S. DRAKE AVE approximately 250 FEET feet/mile SOUTH <br /> of FOURTH STREET , by performing the following work(description of work): <br /> EXCAVATE 2 BELL HOLES AND INSTALL 210'OF GAS MAIN <br /> 2 BELL HOLES AT 40'AND 250'SOUTH OF FOURT ST ON S.DRAKE AVE. <br /> INSTALL 210'OF 2"GAS MAIN <br /> Work will commence on or about SCHEDULE TO BE DETERMINED BY CALTRANS for approximately 3 DAYS 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 /> JJ 10/5/2012 <br /> Signature of Applicant-Title Date <br /> E:IPUB-SV.WKIMASTER.PSIENCROACHMENTPERMIT APPLICATION.DOC (01/08) <br />