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APPLICATION FOR UNCR©AGI°IMEN'f PERMIT <br />PLEASE PRINT: <br />Date 3/22/2023 <br />To: San Joaquin County <br />Department of Public Works <br />California Water Service Company <br />(Applicant Name) <br />1602 E Lafayette St <br />(Mailing Address) <br />Stockton, Ca 95205 <br />(City, Stale, Zip Code) <br />(209)464-8311 <br />(Area Code - Telephone Number) <br />deberhardt@calwater.com <br />(Email Address) <br />may be submitted) <br />See attached <br /># 8688 <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730077 REF # <br />CR # <br />3/27/2023 TO 6/1/2023 DRIVEWAYS: <br />F St <br />Stockton QUAD NS ' <br />Bell Hole <br />SSANVV R_29, Iiench Ci it Pn1 cy <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 North F St approximately 220 feetlmile South <br />of E Alpine Ave I , by performing the following work (description of work): <br />3212 North F St <br />1" Service Replacement STK0600 <br />Work will commence on or after 3/zzlzo23 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 <br />Signature of Applicant - Title <br />Y.vIX s f, U,MwSFI2RWLINVff P ff IFA1 Dwbr P") <br />3/22/2023 <br />Date <br />