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PM 31080195 Notif 107934587 <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 7/9/2014 OFFICE USE ONLY <br /> To: San Joaquin County JOB# 7 n REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE �-(S <br /> PG&E - Nicholas Soldavini _ VALID -)�-J s TO - DRIVEWAYS: <br /> (Applicant Name) STREET <br /> AREAF,SC(h1C2y1 QUADS <br /> 8 River Park Place E. _ TYPE <br /> (Mailing Address) FORMS <br /> NOTES <br /> Fresno, CA 93720 _ <br /> (City,State,Zip Code) <br /> 925-327-0990 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> See attached construction sketch/plans and Traffic Control Plan. <br /> The undersigned hereby applies for permission to excavatE�,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the south side of Vine Ave. approximately 5 2 0 feet/mile west <br /> of Sut i f f Ave. _, by performing the following work(description of work): <br /> repalce deteriorated utility pole with new pole. Pole will be set in <br /> six feet deep hole that will be drilled bV auger. No trenching required. <br /> Work will commence tft-er-eget 9/17/2015-1.2Z30/2 015 for approximately 1 days. <br /> between <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 /> 7/9/2014 <br /> Signature of Applicant-Title Date <br /> MCEVRALSFAV CH CLENCA'PUB TIV KKA-[r f'-'MMOA(AiL EraKrViT APPLICATION X'C .a913) <br />