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PLEASE PRINT: AAYYL1C TION FOR ENCROACHMENT ERMIT >S <br /> Date 3-15-95 OFFICE USE ONLY <br /> JOB # 73 0 7 REF# <br /> To: San Joaquin County Highway Department. APN CRV# <br /> EXP.DATE 9 <br /> VALID z `r S DRIVEWAYS: <br /> Pacific Bell STREET x A <br /> (Applicant Name) <br /> AREA QUAD $W <br /> 44 W. Yokuts Avenue TYPE <br /> FORMS S —2 <br /> (Mailing Address) NOS <br /> Stockton , CA. 95207 <br /> (City, State Zip Code) <br /> 209/474-4742 -or 474-4285 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed pians may be submitted) <br /> PLEASE SEE ATTACHED SKETCH <br /> Please refer to Pacific :3ell Job i GE7!/64V when billing . <br /> Report Code - 45C <br /> Tracy <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County <br /> Fisway Right-of-Way on the e a s t side of MacArthur Road t, <br /> ,j: <br /> _ te <br /> 130 (0/.Msouth of Linne Road ± aro � `J <br /> t o 33201 , south ,by performing the <br /> folloAi work: (descriptionofWOr,K): Place one additional buried Telco cable, minimum <br /> cover 36" ,. as shown on attached sketch —restore area to original or better <br /> condition . <br /> Work will commence on or about 3-27-95 <br /> for approximately 12 o da <br /> ys. <br /> I the undersigned certify that I am the owner of the respective property, or am qualified to represent the owner and <br /> agree to do the work described above in;accordance with the rules,regulations Of San Joaquin County and subject <br /> to inspection and approval. <br /> IGi Z TUBE OF�PPL�ICAIN�T - <br /> DATE <br />