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`✓(OZ <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date April 15,2014 OFFICE USE ONLY <br /> To: San Joaquin County JOB# ' �'�cx�,SZ-� REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE ^L cS L <br /> Pacific Gas&Electric Company VALID C—z-T--2o t-TO — -2t,7,) DRIVEWAYS: <br /> (Applicant Name) STREET <br /> n��SQ <br /> AREA lt'Cn,-1 •4La-- _ QUAD ,S <br /> 8 River Park Place E TYPE <br /> (Mailing Address) FORMS n,2, <br /> NOTES <br /> Fresno,CA 93720 <br /> (City,State,Zip Code) <br /> 559-347-5237 <br /> (Area Code-Telephone Number) <br /> Sketch (Detailed plans may be submitted) <br /> See attached sketch <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the Norm side of Enterprise Rd approximately 15-20 feet/mile <br /> of Haverr(eM by performing the fallowing work(description of work): <br /> Replacing joint pole with similarly sized pole. <br /> Work will commence on or about May 17, 2014-August 29,2014 _for approximately 1 days, <br /> I,the undersigned,certify that 1 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 /> Arnold Torres <br /> Signature of Applicant-Title Date <br /> E.""V..VMMSTER.PS%ENCROACHMEMPERWAPPUCATION.DOC(01'08) ' <br />