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I,_F_LEASE PRINT: <br />Date 4-10-95 <br />APPLICATION FOR ENCROACHMENT PERMITL <br />A - <br />To: San Joaquin County Highway Department. <br />Pacific Bell <br />(Applicant Name) <br />44 W. Y'okuts Avenue <br />(Mailing Address) <br />Stockton, CA. 95207 <br />(City, State Zip Code) <br />209/'474-4285 or 474-4723 <br />(Area Code -Telephone Number) <br />Sketch (Detailed plans may be subrait+..ed) <br />SEE ATTACHED SKETCH <br />OFFICE II► <br />JOB #.5 el? <br />IAPN - - <br />ONLY <br />REFH <br />CRV# <br />EXP. DATE <br />- <br />VALID <br />VALID _5 <br />TO <br />STREET <br />AREA <br />QUAD <br />TYPEiY=nrti;.-, <br />- <br />FORMS <br />NOTE <br />_ <br />DRIVEWAYS: <br />* <br />ohen billing please refer to Pacific Hell Job #UE7821.V. <br />Report code - 45C <br />STKAS <br />The undersigned hereby app es for permission to excavate, construct and / or otherwise encroach on County <br />I�.lahway Richt-of--Way on hes s o u t h side of Greenoak C t . appronmately <br />250 feet / pie east Of North 99 F r o n t a g e Road , , by Performing the <br />following work: (description of work): Place approximately 220 feet of buried Telco <br />service wire across and parallel to Greenoak Ct. to serve additional <br />service requests at 4620 Greenoak Ct. <br />Work will commence on or about <br />4-17-95 <br />for approximately 6 0 days. <br />n 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 />SIGNATURE OF APPLICANT - TTTT.E DATE <br />