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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date OFFICE USE ONLY <br />To: San Joaquin County <br />JOB #REF # <br />Department of Public Works APN CR # <br />EXP. DATE <br />VALID TO DRIVEWAYS: <br />(Applicant Name)STREET * <br />AREA QUAD * <br />TYPE * <br />(Mailing Address)FORMS <br />NOTES <br />(City, State, Zip Code) <br />(Area Code - Telephone Number) <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on &ounty Kighway ULght-of-Zay on <br />the ______________ side of ___________________________________ approximately ____________ feet/mile _________ <br />of _______________________________________, ____________________, by performing the following work (description of work): <br />Work will commence on or after _____________________________________ for approximately ________________________ 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 DateSignature of Applicant -Tit <br />2/23/22 <br />RoadSafe Traffic Systems <br />PO Box 1270 <br />Verdi, NV 89439 <br />(775) 622-2950 <br />bstahl@roadsafetraffic.com <br />See attached in Email. Defective railroad track that will cause substantial damage if not repaired <br />immediately. <br />EB/ WB Yosemite Ave. SR 120 2218 <br />Murphy Rd. <br />Union Pacific Railroad had immediately repairs to a broken rail on a railroad track that will require a road closure at this location. The damage to rail is very severe and in turn can cause <br />not only property damage but also a derailment which could intern result in bodily damage to residents and their property. They will need to complete this emergency repair and road closure on 03/01-03/03/2022. There will be advance warning signage and a detour route that will be placed in the county <br />right of way and will be easy to follow. <br />3/1/22 3 <br />2/23/22