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ArrL1k_.A 1 IUIN r OK .E IN LKOACHMENT PER-NUT <br /> PLEASE PRENT: ` � <br /> Date 9-21-95 O " CE USE ONLY <br /> JOB # Z 3 v 7 9 REF# <br /> - - <br /> To: San Joaquin County Highway DepartAFN CRV#ment. FNP. DATE 36 <br /> VALID o 91 TO }' a 9 6 DRIVEWAYS: <br /> ' Pacific Bell STREET- y �cIwo IV Acz> <br /> ovrs�' ,d # <br /> (Applicant Name) AREA QUAD 5,& <br /> # <br /> - 44 W. Yokuts Avenue TYPE <br /> FORMSss/ � ,,e—z 5 <br /> (Mailing Address) NOTE <br /> Stockton, CA. 95207 <br /> (City, State Zip Code) <br /> 209/474-4285 or 4723 <br /> (Area Code-TeIephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> SEE ATTACHED SKETCH <br /> When billing, please refer to Pacific Bell Job #UE1836R. <br /> Report code - 4C/257C <br /> STK4N <br /> The undersigned hereby applies for permission to excavate, construct and!or otherwise encroagh on County <br /> Hrighway Right-of-Way on the east Side of Hwy. 99 Frontage Rd. on MargargoaR at <br /> the intersects <br /> tF E. Hwv Frontage Rd & Marfargoa Rd. by performing the <br /> following work: (description of work); EXCavaf-P & r,lace 4" ''C' plastic conduit of various lenghts <br /> as shown on attached sketch - see A B. & C. Place 241x18" I.D. C.M.P. & construct <br /> _ graveled parking pad adjacent to new 20'x20' private property R/W as shown on attached <br /> sketch. <br /> Work will commence on or about 10-25-95 for approximately 120 <br /> days. <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 and ap oval. <br /> SIGNATURE OF APPLICA�'T - TITL <br /> DATE <br />