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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 1/28/22 <br />To: San Joaquin County <br />Department of Public Works <br />AT&T CALIFORNIA -VALLEY PERMITS DESK <br />(Applicant Name) <br />1445 VAN NESS AVE <br />(Mailing Address) <br />FRESNO, CA 93721 <br />(City, State, Zip Code) <br />(559) 552-4608 g26977@att.com <br />(Area Code - Telephone Number) <br />Sketch (Detailed plans may be submitted) <br />A COPY OF THE TRAFFIC CONTROL PLAN IS SUBMITTED WITH THIS PERMIT <br />FOR AT&T JOB# A028ZAT <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroac n County Highway Right -of -Way on <br />the EAST side of SANGUINETTI LN approximately ee mile SOUTH <br />of E ALPINE AVE , by performing the following work (-description of work): <br />3242 SANGUINETTI LN: AERIAL CABLE PLACEMENT INVOLVING (29) POLES WITH MULTIPLE <br />AERIAL STREET CROSSINGS. AT&T CONTRACTOR TO TRIM TREES AND PROVIDE A 36" <br />RADIAL WINDOW AROUND EXISTING TELECOMMUNICATIONS CABLES BETWEEN POLES. <br />THE ASSOCIATED TCP IS SUBMITTED WITH THIS PERMIT FOR AT&T JOB# A028ZAT. <br />Work will commence on or about <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 />�iau,Lpn4'o�'�ez Engineering Administrator <br />Signatute of Applicant - Title <br />MICENTP LSHNICE61CLHllCALIPUBSVWKIW STERP6IENCROACHNENT PERMIT APPLICATION 00C (0113) <br />3-24-2022 <br />Date <br />OFFICE USE ONLY <br />JOB # <br />730079 REF # <br />APN <br />CR # <br />EXP.DATE <br />VALID <br />STREET <br />TO DRIVEWAYS: <br />{n <br />AREA <br />toc ton QUAD <br />TYPE <br />end Trafficonon r <br />FORMS <br />NOTES <br />Special Conditions <br />A COPY OF THE TRAFFIC CONTROL PLAN IS SUBMITTED WITH THIS PERMIT <br />FOR AT&T JOB# A028ZAT <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroac n County Highway Right -of -Way on <br />the EAST side of SANGUINETTI LN approximately ee mile SOUTH <br />of E ALPINE AVE , by performing the following work (-description of work): <br />3242 SANGUINETTI LN: AERIAL CABLE PLACEMENT INVOLVING (29) POLES WITH MULTIPLE <br />AERIAL STREET CROSSINGS. AT&T CONTRACTOR TO TRIM TREES AND PROVIDE A 36" <br />RADIAL WINDOW AROUND EXISTING TELECOMMUNICATIONS CABLES BETWEEN POLES. <br />THE ASSOCIATED TCP IS SUBMITTED WITH THIS PERMIT FOR AT&T JOB# A028ZAT. <br />Work will commence on or about <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 />�iau,Lpn4'o�'�ez Engineering Administrator <br />Signatute of Applicant - Title <br />MICENTP LSHNICE61CLHllCALIPUBSVWKIW STERP6IENCROACHNENT PERMIT APPLICATION 00C (0113) <br />3-24-2022 <br />Date <br />