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PLEASE PRINT: <br />Date 6/9/20 <br />To: San Joaquin County <br />Department of Public Works <br />PG&E <br />(Applicant Name) <br />4155 E Childs Ave <br />(Mailing Address) <br />APPLICATION FOR ENCROACHMENT PERMIT <br />PM#74025580 <br />Merced, CA, 95340 <br />(City, State, Zip Code) <br />408-605-6657 <br />(Area Code - Telephone Number) <br />DDHNAPGE.COM <br />(Email Address) <br />Sketch (Detailed plans may be <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730052 REF # <br />CR # <br />7/10/2020 To 8/15/2020 DRIVEWAYS: <br />West Ripon Rd <br />Manteca QUAD SW <br />Bell Holes, TCP <br />SSNNV, R-29, Trench Cut Policy <br />Special Conditions <br />Crew to call SJ County Inspector at (209) 953-7421 48 to 72 hours before work starts. <br />When calling, crew shall request "rain clearance" for any work during winter months <br />November through March <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on <br />the N & S side of W Ripon Rd approximately 1000, ee mile w <br />of Union Rd , by performing the following work ( escription of work): <br />Expand meter station to accommodate a new launcher & receiver. Excavate bell holes. <br />Note: Same job as closed out permit #PS -1903586. (Finishing up next phase) <br />Work will commence on or after 7/10/20 for approximately 15-20 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 />7: [a,4� Y�9, Permit Facilitator 5/27/20 <br />Signature of App cant -Title Date <br />Y 1FCRltSdIEYPIAIES£1'.GiOACHI£RP VR L�R'li ICAW16d p:L ) <br />