Laserfiche WebLink
PLEASE PRINT: <br />Date 9/27/2019 <br />To; San Joaquin County <br />Department of Public Works <br />AT&T / VCC PERMITS DESK <br />Name) <br />5555 E. Olive Ave <br />(Mailing Address) <br />Fresno, CA 93727 <br />(City, State, Zip CO <br />(559) 454-4900 g26977@att.com <br />(Area Code -Telephone Number) <br />OFFICE USE ONLY <br />JOB # '7 �o �_ REF # <br />APN CR # <br />EXP. DATE <br />VALID TO DRIVEWAYS: <br />STREET <br />AREA QUAD <br />TYPE <br />FORMS <br />NOTES <br />Sketch (Detailed plans may be submitted) <br />TRAFFIC CONTROL PLAN TO ACCESS AT&T MH 499, POLE P.41, MH 506, AND MH 1 FOR <br />CABLE SPLICING WORK, SEE ATTACI-IED TCP DRAWINGS FOR AT&T JOB A01 PDKR. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on <br />the WEST side of S. LAMMERS RD approximately fee mile SOUTH <br />of CAPITAL PARK DRIVE by performing the following work ( escription of work): <br />TRAFFIC CONTROL PLAN TO ACCESS AT&T MH 499 POLE P.41 MH 506 AND MH 1 FOR <br />CABLE SPLICING WORK. <br />Work will commence on or about � g!� 1-/019-11 /� 1 /019 for approximately <br />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 />icant -Title <br />- Engineering Administrator 9-27-2019 <br />Id:ICENTRALSERVICESICLERICALIPUB-SV.WNW,ASTER.PSIEMCRCACHMENT PERMR APPLICATION.DOC (09/13) <br />Date <br />