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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2021_PS-2102501 thru PS-2103000_ - PS-2102647
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2021_PS-2102501 thru PS-2103000_ - PS-2102647
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Last modified
11/22/2022 10:56:00 AM
Creation date
11/22/2022 10:48:18 AM
Metadata
Fields
Template:
Permits_Development
DocName
PS-2102647
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2021
Notes2
South Airport Way
Address
9796 Kent St., Elk Grove,CA 95624
Application
Pacific Excavation Inc.
Type
Trench
Supplemental fields
Cross Ref
PWP7110005
Type (2)
Encroachment Permit (EP)
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y o�y�m co <br />SAN.J0A0UIN <br />Department of Public Works <br />= <br />—COUNTY— <br />Kns Balaji, Directorof Public Works <br />Fritz Buchman, Deputy Diiector/Devebpment <br />�`9lt of <br />Greotness grows here. <br />Michael Selling, Deputy DuectodEngineering <br />Wo&b* for YOU <br />Jim Stone, Deputy Directory0perefions <br />Knsti Rhea, Managerof Strategic initiatives <br />Acknowledgement of Monument Preservation <br />I, Michael Halterman 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. LS 8040 <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. PW Ps -2102647 <br />I further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />J, Lq"b <br />Signature <br />2021-09-28 <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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