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PW-ENCUTIL-2501376
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2025
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PW-ENCUTIL-2501376
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Last modified
4/8/2025 7:45:24 AM
Creation date
4/8/2025 7:44:56 AM
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Template:
Permits_Development
DocName
PW-ENCUTIL-2501376
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2025
Location
N/side Mariposa Rd. Approx. 130' SE of Pock Ln. to 1754 Pock Ln., Stockton,CA 95205
Type - Permit Process
TCP needed for shoulder closure to access pole #01754 on Mariposa Rd.
Address
1445 Van Ness Ave., Fresno
Application
AT&T California
Project #
730079
Type
Utility Encroachment
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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date OFFICE USE ONLY <br />To:San Joaquin County JOB #REF # <br />Department of Public Works APN CR # <br />EXP. DATE <br />VALID TO <br />DRIVEWAYS: <br />(Applicant Name)STREET * <br />AREA QUAD <br />* <br />TYPE * <br />(Mailing Address)FORMS <br />NOTES <br />(City, State, Zip Code) <br />(Area Code -Telephone Number) <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on ounty ighway ght-of-ay on <br />the ______________ side of ___________________________________ approximately ____________ feet/ mile _________ <br />of _______________________________________, ____________________, by performing the following work (description of work): <br />Work will commence on or after _____________________________________ for approximately ________________________ 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 />Signature of Applicant -Title Date
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