Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 1/19/24 <br />To: San Joaquin County <br />Department of Public Works <br />Pacific Gas & Electric <br />(Applicant Name) <br />4155 E Childs Ave <br />(Mailing Address) <br />Merced, CA, 95340 <br />(City, State, Zip Code) <br />(408)605-6657 <br />(Area Code - Telephone Number) <br />DDHN@PGE.COM <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730052 REF # <br />CR # <br />4/2/2024 TO 7/2/2024 DRIVEWAYS: <br />Sargent Rd. <br />Lodi QUAD <br />Archor Replacement <br />SS/Vvw <br />Special Conditions <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the N side of E Sargent Rd approximately 1220 Q feet/ Q mile w <br />of Curry Ave _ Lodi by performing the following work (description of work): <br />Replace anchor wire, no excavation. No TCP Parking equipment on dirt shoulder. <br />P M#46088815 <br />Approx. 8' from EP & 8' ROW <br />Work will commence on or after 4/2/24 for approximately 1 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 />1/19/24 <br />Signature of Applicant - Title Date <br />