Laserfiche WebLink
APPLICATIO FOR NGROWWW PPPW <br />PLEASE PRIFI- <br />Date <br />T0: San Joaquin County <br />Department of Public Works <br />Cfl1-1>4 )Pl)tr) VV1liz P_6L�Rb,iOLE <br />(Applicant Warne) <br />' (Mraiting �dfi'�ea�) <br />(ke-a Cade -Telephone Number) <br />Sketch (Detailed plans may be submitted) <br />SZ2. a�-��ctier� • <br />f85a) <br />J0134 <br />APN <br />EXP. DATE <br />VALID <br />SIREN <br />OFFICE USE ONLY <br />730077 REF <br />CRA <br />8/15/2020 ' <br />6/82020 TO' 8115/2020 DRIVEWAYS:' <br />Coolidge Ave. <br />AREA <br />TYPE <br />Stockton QUAD ES <br />Bell Hole <br />FORMS <br />NOTES <br />SSMNV, R=29, Trench Cut Policy <br />Special Conditions <br />"EMERGENCY WORK" <br />Thew Orstgnedhereby applies for penrit stonto xGavatE,cousirucfapdCorofheruuiseencroacfCOil County Mf(ll, Right-of-waydn . <br />th�,IJP _ _.sideof S Cflo1'p p�Q J� appr4xmata(y lAy ee mile. SMAN <br />°z E �11,Si�rgr n S 1 by perfotrning fhefollaw ng work (escHlition of erork); <br />IllforictnlifCc°mmenc�onorabouk -5-�0 fnrapproxhrafely days. <br />1, the undersigned,cet?ifytat Iarrtthe owner oftherespeutivapropet(y,or2mquai iedfurepresenttheOwner:andagreefadoihp-. . <br />work descnh.dd above in accordance aifft if e rues acid req fions of San Joaquin Ebur ty and subjeWn inspection and approval, <br />oacr�tl�ns <br />i net�re g _plPcangrT e <br />Rate <br />llceryZWSaYfCE51CI8ACAL1Fi1&4V.Wtt4MsitgpSlqt�RopCNilEIirPFMIRAPPUoA7011000 (ON13) t <br />