Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br /> <br />Date OFFICE USE ONLY <br /> <br />To: San Joaquin County JOB # REF # <br /> Department of Public Works APN CR # <br /> EXP. DATE <br /> VALID TO DRIVEWAYS: <br />(Applicant Name) STREET * <br /> AREA QUAD * <br /> TYPE * <br />(Mailing Address) FORMS <br /> NOTES <br /> <br />(City, State, Zip Code) <br /> <br /> <br />(Area Code - Telephone Number) <br /> <br />(Email Address) <br /> <br />Sketch (Detailed plans may be submitted) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br />the ______________ side of ___________________________________ approximately ___________________ feet/mile _________ <br />of _______________________________________, ____________________, by performing the following work (description of work): <br /> <br /> <br /> <br /> <br /> <br />Work will commence on or after _____________________________________ for approximately ________________________ days. <br /> <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 /> <br /> <br /> <br />Signature of Applicant - Title Date <br /> Y:\FORMS & TEMPLATES\ENCROACHMENT PERMIT APPLICATION.doc (08/08) <br />COMCAST / SEFNCO COMMUNICATIONS <br />12687 S MANTHEY RD <br />LATHROP, CA 95330 <br />(209)278-8159 <br />PHeusler@SEFNCO.COM <br />SEE ATTACHED <br />Jeremy Heusler - Permit Coordinator - SEFNCO <br />11/12/2020 <br />South / East / West Cherokee / Newton / N Wilson <br />Tie in at existing pedestal on the corner of Cherokee Rd. and Teepee Dr. Overpull 488' of new cable in existing conduit East on Cherokee Rd. to Newton Rd. <br />Bore 4629' from existing vault on Cherokee Rd. and Newton Rd. North on Newton Rd. to WIlson Way. Place 16 new vaults along bore path. Riser up 25' on existing pole on <br />Wilson Way and overlash 2026' South on WIlson Way to existing pole at #4007. <br />12/07/2020 5 <br />11/21/2020