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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 8/21/2023 <br />To: San Joaquin County <br />Department of Public Works <br />Luke Picotte <br />(Applicant Name) <br />800 R Street <br />(Mailing Address) <br />Sacramento CA 95811 <br />(City, State, Zip Code) <br />619-241 5785 <br />(Area Code - Telephone Number) <br />Juke. picotte@whiting-turner.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />OFFICE USE ONLY <br />110005 REF # <br />CR # <br />10/16/2023 TO 5/15/2024 DRIVEWAYS: <br />Maainosa Rd <br />AREA <br />TYPE <br />Stockton QUAD NE <br />Temp Traffic Signal <br />FORMS <br />NOTES <br />SS/WW <br />Specia Conditions <br />Sketch is attached to the previously submitted encroachment permit. <br />****Keep signal on Green on Mariposa Rd.**** <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on <br />theeast and westside of Mariposa Road approximately 500 feet/mile West <br />Of Carpenter Road , Working East , by performing the following work (description of work): <br />WorK will commence on or atter 1 U <br />I, the undersigned, certify that I am th c <br />work described above in accordance wi <br />Luke Picotte <br />Signature of Applicant - Title <br />for approximately <br />days, <br />of the respective property, or am qualified to represent the owner and agree to do the <br />rules and regulations of San Joaquin County and subject to inspection and approval. <br />is the expected peak <br />hour volume? <br />8121/2023 <br />Date <br />Revised, WT <br />9/13/23 <br />