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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 11/22/21 <br />To: San Joaquin County <br />Department of Public Works <br />PACIFIC BELL TELEPHONE COMPANY DBA <br />AT&T CALIFORNIA/VCC PERMITS 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 />OFFICE USE ONLY <br />JOB # REF # <br />APN CR # <br />EXP. DATE <br />VALID TO DRIVEWAYS: <br />STREET <br />AREA QUAD <br />TYPE <br />FORMS <br />NOTES <br />Sketch (Detailed plans may be submitted) <br />A COPY OF THE TRAFFIC CONTROL PLAN IS SUBMITTED WITH THIS PERMIT AT&T <br />JOB# A026G09. <br />/// 29 /2 f <br />(A) <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on <br />the SOUTH side of E WASHINGTON ST approximately 60 feet/mile EAST <br />of S ANTEROS AVE by performing the following work (description of work): <br />3820 E WASHINGTON ST, ADDITIONAL ADDRESSES INVOLVED ON DRAWINGS. -PLACE NEW 4'X5' CONCRETE PAD, <br />RI ACE NEW1864 PAD h401 INTED PFP CABINET, PI ACEA' 1-4" n' ICT NIIA TRENCH AERIAI C -ARI F PI ACEMENT <br />INveLVING (10) PeLIES WIzFI !AERIAL STREET 6ROSSINGs eVER S HINKLEY AVE, S eLIVE A -VE, AND s eRO AV <br />AGUE68 MANHOLE #30-1 TO PLAGE AND SPLICE NEW FIBER GABLE. PLEASE SEE INGS <br />Work will commence on or about <br />5/11/22 <br />for approximately 15 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 />S�ej� Engineering Administrator <br />Signatu of Applicant - Title <br />M: ICENTRALSERVICESICLERICAUPUB-SV.WWdASTER.PMENCROACHMENT PERMIT APPLICATIONAOC (09113) <br />11-22-2021 <br />Date <br />