Laserfiche WebLink
RECE1\7Eu ION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 10/5/2012 OCT U 5 2012 <br /> OFFICE USE ONLY <br /> To: San Joaquin Co RE~SN JOB# 7300�� — REF# <br /> Department of P K APN CR# <br /> PG&E (KAMRAN VAHABI) EXP.DATE 41,16 <br /> VALID 1 TO I ,3 DRIVEWAYS: <br /> (Applicant Name) STREET W hftM <br /> AREA Al QUAD 455 <br /> 8 RIVER PARK PLACE EAST TYPE ms %001111,41615 <br /> (Mailing Address) FORMS 55 1 <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 /> CONFLICT # 5. 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 EAST side of HWY 99 approximately 400' N to 600' S feet/mile N.&S.SIDE <br /> of MUNFORD RD , by performing the following work(description of work): <br /> EXCAVATING 6 BELL HOLES AND BORING 200 FEET <br /> EXCAVATE 4 BELL HOLES TO RETIRE EXISTING GAS MAIN.2 AT MUNFORD AND 99,ONE 100'AND ONE 450'NORTH OF MUNFORD RD. <br /> EXCAVATE 2 BELL HOLES SOUTH OF MUNFORD(350'&550')AND BORE 200 FEET OF 2"PLASTIC GAS MAIN. <br /> Work will commence on or about SCHEDULE TO BE DETERMINED BY CALTRANS for approximately 1 WEEK 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 />