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P B: <br /> PM 31096867 APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 10/31/2014 OFFICE USE ONLY <br /> To: San Joaquin County JOB# 7_2�, REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE <br /> MARK HUGHES - PG&E VALID Z-2 -IS TO 3DRIVEWAYS: <br /> (Applicant Name) STREET Log e T2-ee <br /> AREA QUAD 5'[ <br /> 811 West J St. TYPE <br /> (Mailing Address) FORMS S5 (1/J�/ 2 If9 <br /> NOTES <br /> OAKDALE, CA, 95361 <br /> (City,State,Zip Code) <br /> 209-576-6624 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> CONSTRUCTION NOTES: `POLE SET NOTE: <br /> II OC1: SET HARD TO WEST OF EXISTING <br /> REPLACE POLE-. INSTALL SINGLE OR TO EAST TO CLEAR PHONE <br /> PHASE AND THREE PHASE SPLICE. <br /> TRANSFORMERS ON SCOTT <br /> BRACKET, XFER PT & CABLE AT <br /> PGE EXPENSE. IQOA <br /> LOC2: 277/480 30 4W <br /> INSTALL OPX SVC & AG METER <br /> Mn <br /> TRANSFER SERVICE. O �O(120V WE) <br /> °C <br /> i a <br /> `O� a s of lmtce WOE t' <br /> B <br /> 3-4/OA 11.2 kV O <br /> E LONE TREE RD 25 25 75kkVVA <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-W on <br /> the NORTH side of LONE TREE RD approximately 0.47 #eet/mile EAST <br /> of CAMPBELL RD. , ESCALON ,by performing the following work(description of work): <br /> UTILITY POLE REPLACEMENT IN FRONT OF 27515 LONE TREE RD, ESCALON, CA 95320 <br /> Work will commence on or about -oZ 2015 to �,?-/3-"2015 for approximately L days. <br /> I,the undersigned,certify that I 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 /> Engineering Estimator October 31, 2014 <br /> Signature'o Applicant-Title Date <br /> IA,CENTRALSERVICES�CLERICALIUB-SV.VPKVAASTER.PS,ENCROACHtAENTPEPJAITAPPLICATION.DOC (03113) <br />