Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 7/5/23 <br />To: San Joaquin County <br />Department of Public Works <br />ATT PERMIT DESK <br />(Applicant Name) <br />1445 Van Ness Ave <br />(Mailing Address) <br />Fresno, CA 93721 <br />(City, State, Zip Code) <br />(559) 552-4608 <br />(Area Code - Telephone Number) <br />G26977(aDATT.COM <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />See Attached Dwgs ATT JOB A01 XJ83 <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 />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the E & w side of FRESNCH CAMP TURNPIKE approximately 920' TO 1072' Qi feet/ Q mile North <br />of CLAYTON AVE _ , by performing the following work (description of work): <br />Place two new anchors at Doles P.3571 & P.3534 on French CannD Turnpike <br />Pace two now anchors of poles P_3574 R P_3534 on French Camp <br />Timrpffie <br />Work will commence on or after 10/73/23 for approximately 9 days 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 />Engineering <br />$vzcIWE Sch"&01 Administrator 07/06/2023 <br />Signature of Applicant - Title <br />Date <br />