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PLEASE PRINT: <br />Date 9/21/23 <br />APPLICATION FOR ENCROACHMENT PERMIT <br />To: San Joaquin County <br />Department of Public Works <br />Lockeford Holdings, Inc. <br />(Applicant Name) <br />7514 Girard Ave. STE. 1315 <br />(Mailing Address) <br />La Jolla, CA 92037 <br />(City, State, Zip Code) <br />(951)235-9223 <br />(Area Code - Telephone Number) <br />srsinnett@gmail.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />See Attached. <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />110005 REF # PS -2302994 <br />CR # <br />9/2$/23 TO 10/9/23 DRIVEWAYS: <br />Locke Road <br />Lockeford QUAD NE <br />Trenching for utilities <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the east side of Locke Road approximately .9 O feet/ * mile north <br />of Brandt Road and Locke Road Intersection I Lockeford, CA 95237 , by performing the following work (description of work): <br />Trenching for installation of natural gas lines connected from PGE main located in County right of way to the adjacent facility at 12470 Locked Road <br />Work will commence on or <br />for approximately Seven <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 />CEO of Greene Brothers Farm, Inc. <br />.a„sni�.mi:•,n,00,a,,::noon <br />Signature of Applicant - Title <br />9/21/23 <br />Date <br />