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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 7/13/23 <br />To: San Joaquin County <br />Department of Public Works <br />Trevor Herron <br />(Applicant Name) <br />3201 Swetzer Road <br />(Mailing Address) <br />Loomis, CA, 95650 <br />(City, State, Zip Code) <br />(650) 353-1383 <br />(Area Code - Telephone Number) <br />Trevor@newgenenergy.com <br />(Email Address) <br />may <br />Please See Attached Site Plan Document <br />OFFICE USE ONLY <br />JOB # REF # <br />APN CR # <br />EXP.DATE <br />VALID TO DRIVEWAYS: <br />STREET or <br />AREA QUAD or <br />TYPE or <br />FORMS <br />NOTES <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the South side of 19116 E Lone Tree Rd, Escalon approximately 0.34 Q feet/ @ mile West <br />of Carrolton Rd _ Escalon , by performing the following work (description of work): <br />A 70 foot trench between 24-48 inches deep will be dug for the primary conduit leading from <br />our 400A main breaker for the solar system to the PG&E owned pole located along Lone Tree Road. <br />Work will commence on or after 7/30/23 for approximately 2 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 />Trevor Herron Ddrollly signed by Trevor Herron 7/13/23 <br />Dare 2023.07131339.55-07'00' <br />Signature of Applicant - Title <br />Date <br />