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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 12/22/23 <br />To: San Joaquin County <br />Department of Public Works <br />Traffic Management Inc. C/O NRC Environmental Services Inc. <br />(Applicant Name) <br />4900 Airport Plaza Dr. Ste 300 <br />(Mailing Address) <br />Beach, CA 90815 <br />(City, State, Zip Code) <br />(562) 241-1997 <br />(Area Code - Telephone Number) <br />permits@trafficmanagement.com <br />(Email Address) <br />may <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 # <br />CR # <br />1/31/24 TO 1/31/24 DRIVEWAYS: <br />Wicklund Rd. <br />Tracy QUAD <br />Temp. Road Closure <br />SS/vwv <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 Both side of Wicklund Road approximately 95 @ feet/Qmile North <br />of Byron Road , _ in Tracy , by performing the following work (description of work): <br />NRC Environmental to replace train tracks on Wicklund Road, requesting a full road closure per plan provided during normal business hours. <br />Plan includes detour route to assist local traffic cat around the closure. <br />Work will commence on or after 1/31/24 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 />tl >e u <br />Signature of Applicant - the <br />12/22/23 <br />Date <br />