Laserfiche WebLink
PLEASE PRINT: <br />Date 11-1-2019 <br />To: San Joaquin County <br />Department of Public Works <br />PGE PM 31319661 <br />(Applicant Name) <br />3136 Boeing <br />(Mailing Address) <br />Stockton, CA 95204 <br />APPLICATION FOR ENCROACHMENT PERMIT <br />(City, State, Zip Code) <br />(209) 210-0454 <br />(Area Code - Telephone Number) <br />T8M3@PGE.COM <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />JOB # <br />APN <br />EXP. DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />?3aoSd REF # <br />CR # <br />2. <br />TO DRIVEWAYS: <br />G.ILSTA qe%rd <br />06,S�0et.alaEQUAD ►� W <br />Maw ?k:)t1&W4P <br />Sg/wW <br />�-0-boamaojs <br />Crew to call SJ County Inspector at (209) 953-7421 48 to 72 hours before work starts. When calling, <br />crew shall request "rain clearance" for any work during winter months <br />November through March <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on <br />the so�tn side of E. Augusta st. approximately 130 feet/mile West <br />of olive St Woodbridge, CA 95258 by performing the following work (description of work): <br />Install new clearance pole. <br />Work will commence on or after �2i�i2o�9 <br />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 />�FW Nlab <br />tln�z <br />Signature of Applicant -Title <br />Y:IFCRMS $ TEMPLATESIENCRCACHMENT PERMfT APPLICATIOIJ.doc (08108) <br />11-1-2019 <br />Date <br />