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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2022_PS-2200001 thru PS-2200500_ - PS-2200003
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2022_PS-2200001 thru PS-2200500_ - PS-2200003
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Last modified
10/13/2022 1:38:41 PM
Creation date
10/13/2022 1:35:59 PM
Metadata
Fields
Template:
Permits_Development
DocName
PS-2200003
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2022
Notes2
E/S of Airport Way 823' N/O Roth Rd.
Address
PO Box 3031, Modesto,CA 95353
Application
Pacific Gas & Electric-Modesto
Type
Bell Hole
Supplemental fields
Cross Ref
PWP730052
Type (2)
Encroachment Permit (EP)
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I, Brett Brusatori a duly Licensed Land Surveyor or a Professional Engineer <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No. 8775 , <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br />per Section 8771(a -f) of the Business and Professions Code within the bounds of the <br />construction activity permitted by San Joaquin County Permit No. PS -2200003 PM# 35299642 <br />1 further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />P <br />Signat Seal12-24-2021 <br />Date <br />PS -MONUMENT PRESERVATION <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />• <br />Department Public Works <br />SAN JOApUIN w <br />Kris ealajl, Directotoro}Public Works <br />` <br />—COUNTY— <br />Fritz Buchman, Deputy DirectorlDemlopment <br />Greotness grows here, <br />Michael Selling. Deputy D4ectorf ngineenng <br />Working fair YOU <br />Jim Stone, Deputy Din cionUperations <br />Kristl Rhea, Manager or Strategic In,Fatives <br />Acknowledgement of Monument Preservation <br />I, Brett Brusatori a duly Licensed Land Surveyor or a Professional Engineer <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No. 8775 , <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br />per Section 8771(a -f) of the Business and Professions Code within the bounds of the <br />construction activity permitted by San Joaquin County Permit No. PS -2200003 PM# 35299642 <br />1 further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />P <br />Signat Seal12-24-2021 <br />Date <br />PS -MONUMENT PRESERVATION <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />
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