My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2023_PS-2301001 thru PS-2301500_ - PS-2301241
PublicWorks
>
- PUBLIC SERVICES
>
PERMITS & DEVELOPMENT
>
Encroachment(EP)/Driveway(DW) Permits
>
2023
>
PS-2301001 thru PS-2301500
>
Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2023_PS-2301001 thru PS-2301500_ - PS-2301241
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/8/2023 9:46:41 AM
Creation date
5/8/2023 9:44:26 AM
Metadata
Fields
Template:
Permits_Development
DocName
PS-2301241
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2023
Notes2
E/S of Jack Tone Rd. 0.5 Mile S/O Harney Ln.
Address
1715 16th St. SE., Salem, OR 97302
Application
Michels Trenchless, Inc.
Type
Traffic Control Devices
Supplemental fields
Cross Ref
PWP110005
Type (2)
Encroachment Permit (EP)
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
10
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 5/3/23 <br />To: San Joaquin County <br />Department of Public Works <br />Michels Trenchless Inc <br />(Applicant Name) <br />1715 16th Street SE <br />(Mailing Address) <br />Salem, OR 97302 <br />(City, State, Zip Code) <br />(920) 539-3812 <br />(Area Code - Telephone Number) <br />dduhn@michels.us <br />(Email Address) <br />may <br />See Attached <br />OFFICE USE ONLY <br />JOB # 760034 REF # <br />APN 065-070-02 and 065-060-05 CR # <br />EXP.DATE <br />VALID 5/9/2023 TO 7/1/2023 DRIVEWAYS: <br />STREET Jack Tone Road <br />AREA Lodi QUAD NE <br />TYPE Jack Tone Rd. <br />FORMS SSANVV <br />NOTES Special Conditions <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the North -Bound side of Jack Tone Rd approximately 0.5 0feet/ QQ mile South <br />of E. Harney Lane , by performing the following work (description of work): <br />Cleaning and CIPP rehabilitation of culverts <br />Cleaning work will take one (1) day, and CIPP rehabilitation work will take two (2) days <br />Work is being preformed for San Joaquin County Flood Control and Water Conservation District under the defered maintenance program which is funded by Departmnet of Water Resources. <br />Work will commence on or after 5/9/23 for approximately 45 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 />DeAnn Duhn ��e"202305°03y1a0354 o7°oo 5/5/23 <br />Signature of Applicant - Title <br />Date <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the North -Bound side of Jack Tone Rd approximately 0.5 0feet/ QQ mile South <br />of E. Harney Lane , by performing the following work (description of work): <br />Cleaning and CIPP rehabilitation of culverts <br />Cleaning work will take one (1) day, and CIPP rehabilitation work will take two (2) days <br />Work is being preformed for San Joaquin County Flood Control and Water Conservation District under the defered maintenance program which is funded by Departmnet of Water Resources. <br />Work will commence on or after 5/9/23 for approximately 45 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 />DeAnn Duhn ��e"202305°03y1a0354 o7°oo 5/5/23 <br />Signature of Applicant - Title <br />Date <br />
The URL can be used to link to this page
Your browser does not support the video tag.