Laserfiche WebLink
Date To: San Joaquin Coun~, Department ot Public Works TTh/ futw,?.£ , Tru: _ (Applicant'ame) i..:-i:.:-: :::, :'1 .-·~· -·· (' L /: 700q7 2ll"l6 JUL 28 f:)1 9: 28 JOB# DRPlEVVf'.YS: / .· i The undersigned hereby applies for permission to excavate, consiruct and/or otherwise encroach on Couniy Highway Right-of-\Nay on the Ebafh side of ~"g~ Rd.. approximate!y 6 £0(] feei/mile /4lg_5j--of c'i cu/ OilJ .8 e llot,>l , -------~ by performing fi:a following work (des<::ription of work): ·-------· ------·----·---·-·· -----------------\1\/oric will commence on or about ______________ for approximateiy _________ days. I, the undersigned, certir; that I am tl1e owner of the respective prope1ty, or am qualified to represent the owner and agree to do the wori< described above in accordance with the rul_es and regulations of San Joaquiii County and subject to inspection and approval. Date