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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 3/9/2022 <br />To: San Joaquin County <br />Department of Public Works <br />AT&T CALIFORNIA - VALLEY PERMIT DESK <br />(Applicant Name) <br />1445 VAN NESS AVE <br />(Mailing Address) <br />FRESNO, CA 93721 <br />(City, State, Zip Code) <br />(559) 552-4608 g26977@att.com <br />(Area Code - Telephone Number) <br />Sketch (Detailed plans may be submitted) <br />A COPY OF THE TRAFFIC CONTROL PLAN IS SUBMITTED WITH THIS PERMIT <br />FOR AT&T JOB# A027BX7. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroac n County Highway Right -of -Way on <br />the NORTH side of SECTION AVE approximately �1 ee mile WEST <br />of S ORO AVE , by performing the following work ( scription of work): <br />1565 S ORO AVE - DIG (2)4'X4' PITS TO LOCATE EXISTING DUCT & CLEAR BLOCKED CONDUIT <br />4404 E 3RD ST - DIG (3) 4'X4' PITS, PLACE 173' 1-4" DUCT VIA BORE, RESTORAL OF 16 SQ FT <br />OF ASPHALT. PLEASE SEE ATTACHED PERMIT DRAWINGS FOR AT&T JOB# A027BX7. <br />Work will commence on or about 3/30/22 for approximately 5 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 />Signature of Applicant - Title <br />MICENTP LSHNICE61CLHllCALIPUBSVWKIW STERP6IENCROACHNENT PERMIT APPLICATION 00C (0113) <br />3-23-2022 <br />Date <br />OFFICE USE ONLY <br />JOB # <br />730079 REF # <br />APN <br />CR # <br />EXP.DATE <br />VALID <br />3/30/2022 TO71112022DRIVEWAYS: <br />STREET <br />Section Ave. <br />AREA <br />Stockton QUAD ES <br />TYPE <br />Bell Holes, Bores <br />FORMS <br />SSNVW, R-29, Trench Cut Policy <br />NOTES <br />Special Conditions <br />A COPY OF THE TRAFFIC CONTROL PLAN IS SUBMITTED WITH THIS PERMIT <br />FOR AT&T JOB# A027BX7. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroac n County Highway Right -of -Way on <br />the NORTH side of SECTION AVE approximately �1 ee mile WEST <br />of S ORO AVE , by performing the following work ( scription of work): <br />1565 S ORO AVE - DIG (2)4'X4' PITS TO LOCATE EXISTING DUCT & CLEAR BLOCKED CONDUIT <br />4404 E 3RD ST - DIG (3) 4'X4' PITS, PLACE 173' 1-4" DUCT VIA BORE, RESTORAL OF 16 SQ FT <br />OF ASPHALT. PLEASE SEE ATTACHED PERMIT DRAWINGS FOR AT&T JOB# A027BX7. <br />Work will commence on or about 3/30/22 for approximately 5 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 />Signature of Applicant - Title <br />MICENTP LSHNICE61CLHllCALIPUBSVWKIW STERP6IENCROACHNENT PERMIT APPLICATION 00C (0113) <br />3-23-2022 <br />Date <br />