Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date vz4/2ozo <br />To: San Joaquin County <br />Department of Public Works <br />RoadSafe Traffic Systems <br />(Applicant Name) <br />1808 Frazer Ave <br />(Mailing Address) <br />Sparks, NV 89431 <br />(City, State, Zip Code) <br />775.358-0103 <br />(Area Code • Telephone Number) <br />kclennan@roadsafetrafgc.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />see attached. <br />The undersigned hereby applies for permission to excavate, construct and/or <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />/ oz95r REF # <br />CR # <br />Z tri u <br />Z /0 zo 0 2 0 H DRIVEWAYS: <br />NibcnP� haw) 4 k Irma <br />TCstG�_ QUAD SW <br />eoiWAP'- s�✓lam ' <br />fr fid <br />*-Alpatk n lat5" <br />otherwise encroach on County Highway Right -of -Way on <br />the North a south side of multiple railroad crossings approximately feeUmile <br />of J , by performing the following work (description of work): <br />Selling up a gagging operation near the railroad crossings listed below. Tragic control will beset upper the TA -13 from the CAMUTCD. The railroad will be <br />working on the track and during this time the crossing signals will be shut off. A gagger will be placed on both sides of the crossing to act as the signal while <br />their machines travel through. Traffic will be slopped for brief amounts of time from 9am-5pm each day. <br />Locations: S Chrisman Rd, between W Linne Rd & Valpico Rd, Banta Rd, between W Linne Rd & Bus. 205. S Bird Rd, between W Linne Rd & Lovely Rd. <br />Kasson Rd, just South of axil 457 on I1-1-5. <br />Work will commence on or after teeeem 2 rm ao for approximately 7 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 />C.-----�— / /o J P (� / / Q✓/ o-�i p � 1/2412020 <br />Signature of Applicant • Title Date <br />VVOW a JuN TEsVKRMLIIAEK KW AMKATIMIe bwl <br />