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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 12/16/2019 <br />To: San Joaquin County <br />Department of Public Works <br />VCC PERMITS DESK, AT&T <br />(Applicant Name) <br />5555 E OLIVE AVE <br />(Mailing Address) <br />FRESNO, CA 93727 <br />(City, State, Zip Code) <br />559) 454-4900 <br />(Area Code -Telephone Number) <br />Sketch (Detailed plans may be submitted) <br />THIS JOB PROPOSES THE FOLLOWING WORK IN SAN JOAQUIN COUNTY RIGHT OF WAY; <br />DIG A2' DIAMETER BY 6' DEPTH HOLE INA <br />DIRT SURFACE AROUND <br />TRENCH 18' IN DIRT TO INSTALL A GROUND BED CONSISTING OF (3)-8' GROUND RODS AND #6 GROUND WIRE AT AT&T POLE P.24, <br />OFFICE USE ONLY <br />)B# <br />�3607�j - REF # <br />APN <br />CR # <br />EXP. DATE <br />S r a.n <br />VALID <br />1 el 26 TO s 20 DRIVEWAYS: <br />STREET <br />-�qle ce&eIL /LO <br />AREA <br />_ <br />QUAD Ali <br />TYPE <br />'ZisLC0 HotkS 71e'60cm <br />FORMS <br />5slivW <br />NOTES <br />�4 5 AL C6�D?11�A7s '' <br />THIS JOB PROPOSES THE FOLLOWING WORK IN SAN JOAQUIN COUNTY RIGHT OF WAY; <br />DIG A2' DIAMETER BY 6' DEPTH HOLE INA <br />DIRT SURFACE AROUND <br />TRENCH 18' IN DIRT TO INSTALL A GROUND BED CONSISTING OF (3)-8' GROUND RODS AND #6 GROUND WIRE AT AT&T POLE P.24, <br />THE BASE OF POLE P.12 TO REMOVE THE EXISTING 30'-6 POLE. <br />SET A NEW 30'-3 POLE, <br />P.12 (NEW), <br />IN THE SAME LOCATION. <br />DIG A 2' DIAMETER BY U DEPTH HOLE INA DIRT SURFACE AROUND THE BASE OF POLE P.27 TO REMOVE THE EXISTING 35'-3 POLE. SET A NEW 35'-4 POLE, P.27 (NEW), <br />IN THE SAME LOCATION. <br />TRAFFIC CONTROL PLAN FOR THE ABOVE MENTIONED WORK IN CONJUNCTION WITH APPROXIMATELY 5000' OF NEW AERIAL CABLE PLACEMENT BETWEEN AT&T POLES <br />P.1 AND P.29, <br />SEE ATTACHED PERMIT AND TRAFFIC CONTROL PLAN DRAWINGS FOR AT&T JOB A01 R1J8. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway„Right-of-Way or <br />the NORTH side of BEAR CREEK RD approximately AT feet/mile <br />of 99 FRONTAGE RD <br />by performing the following work (description of work): <br />INSTAI I (,ROUND BED AT POLE P.24 AND REPLACE DEFECTIVE POLES P.12 AND P.27, FIRST WORK LOCATION AT P.12 HAS ADDRESS: 5132 BEAR CREEK RD, <br />commence on or <br />0 04/22 <br />for approximately <br />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 />Engineering <br />Administrator 12/19/2019 <br />Signature of Appli nt -Title Date <br />M:IcENTRALSERVICE5ICLERICALNUBSV,NMNIASTER.PSIENCROACMAENTPERMR APPLICA710NAOC (04113) <br />