Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 3/4/24 <br />To: San Joaquin County <br />Department of Public Works <br />Candice Laccetti - PG&E <br />(Applicant Name) <br />1524 N Carpenter Rd <br />(Mailing Address) <br />Modesto, CA 95351 <br />(City, State, Zip Code) <br />(925)303-9471 <br />(Area Code - Telephone Number) <br />STDivPGEPermits@pge.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />PM 35508287 <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 />6/1/2024 TO 12/1/2024 DRIVEWAYS: <br />Grace St. <br />Linden QUAD <br />Aerial Work <br />SS/Ww <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 North side of E Grace approximately 232 Q feet/ Q mile East <br />of Harrison St Linden by performing the following work (description of work): <br />Traffic control to upgrade OH facilities & install new service <br />Work will commence on or after 6/1/24 for approximately 180 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 />3/4/24 <br />Signature of Applicant - Title <br />Date <br />