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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 1/3/22 <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 />OFFICE USE ONLY <br />JOB # REF # <br />APN CR # <br />EXP.DATE <br />VALID TO DRIVEWAYS: <br />STREET <br />AREA QUAD <br />TYPE <br />FORMS <br />NOTES <br />A COPY OF THE TRAFFIC CONTROL PLAN IS SUBMITTED WITH THIS PERMIT <br />AT&T JOB # A028LG5 <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroa%gi County Highway Right -of -Way on <br />the WEST side of N WILSON WAY approximately ee mile NORTH <br />of E ALPINE AVE , by performing the following work (-description of work): <br />3305 E ALPINE AVE (SEE ATTACHED DOCUMENT FOR WORK LOCATIONS FOR AT&T JOB# A028LG5)-ACCESS <br />SPLICEBOX#2339, SPLICEBOX#3310, SPLICEBOX#2337, SPLICEBOX#2340, SPLICEBOX#2336, SPLICEBOX <br />#2334, SPLICEBOX #2335, AND SPLICEBOX #2332 TO PLACE AND SPLICE NEW FIBER CABLE. AERIAL CABLE <br />PLACEMENT INVOLVING (48) POLES WITH MULTIPLE AERIAL STREET CROSSINGS. SEE ATTACHED DOCUMENT <br />FOR MORE WORK DESCRIPTION FOR AT&T JOB# A028LG5. <br />Work will commence on or about 6/30/22 for approximately 15 WORKING 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 />�ifaiuy�ad/ez A�f/� Engineering Administrator <br />Signatu a of Applicant - Title <br />MICENTP LSHNICE61CLHllCALIPUBSVWKIW STERP6IENCROACHNENT PERMIT APPLICATION 00C (0113) <br />1-24-2022 <br />Date <br />