Laserfiche WebLink
PLEASE PRINT: <br />APPLICATION FOR ENCROACHMENT PERMIT <br />Date 11/29/2022 <br />To: San Joaquin County <br />Department of Public Works <br />Califomla Water Service Company <br />(Applicant Na <br />1602 E Lafayette St <br />Stockton, Ca 95205 <br />(Mailing Address) <br />State, Zip Code) <br />(209)464-8311 <br />(Area Code - Telephone Number) <br />deberhardt@catwater.com <br />(Email Address) <br />may <br />See attached <br /># 8672 <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 />12/5/2022 TO 2/15/2023 DRIVEWAYS: <br />Wallace Ave. <br />Stockton QUAD CC <br />Bell Hole <br />SS/WVV 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 West side of Wallace Ave approximately 56 feet/mile south <br />of Telegraph Ave by performing the following work (description of work): <br />3208 Telecraoh Ave (On Wallace <br />761000 <br />1 Cut -6'x10' <br />Work will commence on or after 11129/2022 for approximately 60 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 />David Eberhardt Jr - Operations Clerk 11/29/2022 <br />Signature of Applicant - Title Date <br />Y VOWI54 iF]IMIE9FHq�YC1YFMPFRIRIPR#ATIMIOz PA(Q� <br />