Laserfiche WebLink
AP °UCATION FOR ENCROACHMENT PEPI.,uf T <br />Date Ap ri 0 1, 2024 <br />To: San Joaquin County <br />Department of Public Works <br />California Water Service Company <br />(Applicant Name) <br />1602 E Lafayette St <br />(Mailing Address) <br />Stockton, CA 95205 <br />(City, State, Zip Code) <br />(209) 279-4576 <br />(Area Code - Telephone Number) <br />srincon@calwater.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />See attached <br />#8737 <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 South side of Canal Drive approximately 19 feet/mile West <br />of Marine Avenue , by performing the following work (description of work): <br />raise overlaid gave valve covers <br />STK0520 <br />Work will commence on or after April 1, 2024 for approximately 60 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 />Stephanie Rincon, Regional Foreman of Operations and Maint. <br />Signature of Applicant - Title <br />Y50RMS & TEMPLATE&ENCROACHMENT PERMIT APPLICATION.doc (08/08) <br />April 1, 2024 <br />Date <br />