Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 10/19/23 <br />To: San Joaquin County <br />Department of Public Works <br />PACIFIC BELL TELEPHONE COMPANY DBA AT&T CALIFORN IANCC PERMIT DESK <br />(Applicant Name) <br />1445 VAN NESS AVE <br />(Mailing Address) <br />Fresno, CA 93721 <br />(City, State, Zip Code) <br />(559) 285-4894 <br />(Area Code - Telephone Number) <br />g26977@att.com <br />(Email Address) <br />may <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 />SEE ATTACHED LAYOUT & TCP DRAWINGS FOR AT&T JOB# A021 <br />11/10/2023 to 2/29/2024 <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 S HARLAND RD approximately 677 @ feet/ Qmile NORTH <br />of C/L OF ROTH RD _ 9240 S HARLAN RD by performing the following work (description of work): <br />DIG (3) 4'1 & (9) 4'1 BORE/RECEIVE PITS; PLACE 6654' OF 4-4" DUCTS VIA BORE; PLACE 146' OF 1-4" DUCTS VIA TRENCH; <br />PLACE 13' OF 4-4" DUCTS VIA TRENCH; PLACE 118' OF 8-4" DUCTS VIA TRENCH; DIG (10) 11'1 & PLACE (10) PTS 65 MH'S. <br />SIGNAGE PLACED IN COUNTY OF SAN JOAQUIN R.O.W. TO PLACE CONDUIT IN CITY OF LATHROP R.O.W. <br />Work will commence on or after 12/18/23 for approximately EST COMPLETE DATE 2/16/2024 FOR 30 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 />Brian E. Schultz pl21019315400ie203150P011/21/23 <br />Signature of Applicant - Title Engineering Date <br />Administrator <br />