Laserfiche WebLink
APPLICATION FOR ENCROACIIMENT PERMIT <br />PLEASE PRINT: # 8651 <br />Date 10112/2022 <br />To: San Joaquin County <br />Department of Public Works <br />California Water Service Company <br />(Applicant Name) <br />1602 E Lafayette Sl <br />(Malting Address) <br />Stockton, Ca 95205 <br />(City, State, Zip Code) <br />(209)464-8311 <br />(Area Code - Telephone Number) <br />deberhardt@cahvater.com <br />(Email Address) <br />Sketch (Detailed plans may <br />See attached <br />JOB # <br />APN <br />EXP,DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730077 REF # <br />CR # <br />11/10/2022 TO 1/15/2023 DRIVEWAYS: <br />La Jolla Dr. <br />Stockton QUAD CC <br />Bell Holes ' <br />SSNVVV, R-29, Trench Cut Policy <br />Special Conditions <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on <br />the North side of La Jolla Dr approximately 107 feellmile East <br />of Marine Ave , by performing the following work (description of work): <br />2077 La Jolla Dr <br />1 Cut - 4'x4' <br />will commence on or <br />for approximately <br />60 <br />STKO600 <br />days. <br />1, the undersigned, certily 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 />David Eberhardt Jr - Operations Clerk <br />Signature of Applicant - Title <br />YVO'J15• IEYAAIFSfNCA0.�[INFM PLWrtIPRM1'A1KNMcpMtB� <br />10/12/2022 <br />Date <br />