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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date OCTOBER 20, 2014 OFFICE USE ONLY <br /> To: San Joaquin County JOB It (l OO05 REF tt <br /> Department of Public Works APN CR# <br /> SOUTH SAN JOAOUIN IRRIGATION DISTRICT EXP.DATE 7 -1 - 15 <br /> MCR ENGINEERING - DAN EAVENSON VALID I f-I9-1f TO •l- I DRIVEWAYS: <br /> (Applicant Name) STREET <br /> AREA QUAD <br /> 1 101 1 EAST HIGHWAY 120 TYPE t�f <br /> (Mailing Address) FORMS <br /> NOTES <br /> MANTECA, CA 95336 <br /> (City,State,Zip Code) <br /> (209) 249-4617 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) , , <br /> I <br /> PROPOSED <br /> i-;�. ,�I.- ROSSIER RD <br /> P J B15 PI ELINE <br /> N o RR LI <br /> " - REPLAC MENT RIGHT-OF-WAY <br /> ¢, <br /> o ENCROACHMENT <br /> o — <br /> O < <br /> a <br /> w j <br /> Cif O U9 ¢ <br /> Of <br /> w <br /> Of <br /> C <br /> 7 z z K0 <br /> w w zy <br /> HIGHWAY 120 En _ > <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the EAST & WEST side of ENTERPRISE ROAD approximately 2,900 feed r<ee NORTH <br /> of STATE HIGHWAY 120 IN RURAL ESCALON by performing the following work(description of work), <br /> REMOVE EXISTING SSJID 36" IRRIGATION LATERAL 815 WITHIN THE COUNTY RIGHT-OF-WAY & REPLACE WITH 36" RGRCP <br /> CLASS IV IRRIGATION PIPELINE. <br /> Work will cornmence on or about NOVEMBER, 2014 for approximately 60 days. <br /> I,the undersigned,certify that I am the owner of the respective property,or am qualified 10 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 /> _FJ <br /> { ASSOCIATE Enlf.7NL°Ee /0 <br /> /U N <br /> Signature of Applicant-Title Date <br />