Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 4/1/24 <br />To: San Joaquin County <br />Department of Public Works <br />AT&T California -Valley 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 />Sketch (Detailed plans may be submitted) <br />DWGS ATTACHED <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730079 REF # <br />CR # <br />5/6/24 TO 8/6/24 DRIVEWAYS: <br />Whiskey Slough Rd. <br />Stockton QUAD <br />Traffic Control Devices <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 S WHISKEY SLOUGH RD. approximately 160 Q feet/ Q mile N/W <br />of TRAPPERS RD. , by performing the following work (description of work): <br />TCP NEEDED FOR SHOULDER CLOSURE AND SB #1 ACCESS ON S WHISKEY SLOUGH RD., <br />LANE CLOSURE WITH FLAGGERS TO ACCESS POLES (2) ON S HOLT RD., AT&T JOB #A02SQ6V. <br />4480 S WHISKEY SLOUGH RD., 4410 S HOLT RD. AND 4411 S HOLT RD. <br />Work will commence on or after 5/6/24 for approximately 3 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 Digi�a2024.n4.01103634-7'00' 4/1/24 <br />Dale: 2024.04.01 10:3634 -0T00' <br />Signature of Applicant - Title Date <br />