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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2015_PS-1502501 thru PS-1503000_ - PS-1502889
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2015_PS-1502501 thru PS-1503000_ - PS-1502889
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Entry Properties
Last modified
6/15/2021 4:42:44 PM
Creation date
12/31/2015 6:07:33 PM
Metadata
Fields
Template:
Permits_Development
DocName
PS-1502889
Category07
Encroachment(EP)/Driveway(DW) Permits
SubCategory07
2015\PS-1502501 thru PS-1503000
Year2
2015
Address
INTERSECTION OF MCHENRY RD & RIVER RD
Application
PACIFIC GAS & ELECTRIC - OAKDALE
Supplemental fields
APN
PS-1502889
Cross Ref
PWP730052
DocCategory
Permit Applications (PA)
Type (2)
Encroachment Permit (EP)
Tags
Permits_Development
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. j <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date OFFICE USE ONLY <br /> To: San Joaquin County JOB# 1130 ' REF# <br /> Department of Public Works APN CR# <br /> EXP.DATE / ! <br /> __. VALID ,!d !a ! TO /2 ! I� DRIVEWAYS: <br /> (Applicant Name) STREET �l/Ic�/6uty �v. $e,We. <br /> til $1� AREA gSeALon! QUAD z: <br /> J + TYPE �.ry,P� �rrn/ 8e2i1-sem lgewrE <br /> (Mailing Address) FORMS_ <br /> NOTES �— <br /> (City, State,Zip Code) <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the _side of approximately feet/mile <br /> of.�77 / / / by performing the follow/ing work(description of work): <br /> 13 c -// C W (�- /7VPU 1 4G'I tb�tely�� 44d�,hJah AnJ'c�. W.1 4 U LJMG1BrmC/Le��/rb <br /> Work will commence on or about for approximately' days. <br /> 1,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 /> .b E— <br /> Signature of Applicant-Title Date <br /> £`J'UZSV 4'nlV}g7�PF:CP.O:.(:F'.^{T PEFl7 RP7lJCATIC:I DOC[ii.il <br /> 1 <br />
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