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COUNTY OF SAN JOAQUIN <br /> -'i DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E.HAZELTON AVENUE Permit No: PS-0901067 <br /> STOCKTON,CALIFORNIA 95201 <br /> Date Issued:05/11/2009 <br /> (209)468-3000 <br /> Exp. Date: 05/28/2009 <br /> FAX#(209)468-9324 Project No: PWPH0005 <br /> Quad: NW <br /> To: HSA DEPT. OF AGING ENCROACHMENT PERMIT <br /> P.O. BOX 201056 <br /> STOCKTON, CA 95201 <br /> Encroachment Type: <br /> TEMP. "NO PARKING" <br /> WAIVER <br /> Location: <br /> W/S OF MICKE GROVE RD" @ MICKE GROVE PARK-TEMP. WAIVER OF"NO PARKING"RESTRICTIONS THURS., MAY <br /> 29,2008,6:30a.m.to 2: <br /> In compliance with your request of 05/11/2009,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of <br /> this form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10)of pavement centerline unless otherwise approved by <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> underground utility facilities are to be established and accurately dimensioned <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All h <br /> k <br /> on sketches from surveyed centerline of road ria <br /> way, or from right of way(border)lines. right of <br /> The Department of Public Works, Field Inspection Section shall receive a notice at least forty-eight <br /> within the County right of way. All work performed under this permit shall conform to the es and regulationstpertaining to sao beginning fety <br /> established by the California Division of Industrial Safety and Cal-OSHA. <br /> Y <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which minanu <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual <br /> a hazard to either <br /> of Traffic Control. <br /> After completion of the work permitted herein, all debris, lumber, barricades, or any excess material shall be removed and the jobsite left <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, <br /> of completion provided by Grantor. Permittee shall fill out and mail notice <br /> S ecial Comments: <br /> Traffic Control per MUTCD-Temporary "No Parking" Waiver on May 28,2009 from 7:00 A.M.to 2:00 P.M" <br /> FORMS: SS/WW R-29 <br /> Est. Permit Fee: $0.00 <br /> THOMAS R. FLINN, Director <br /> WHITE -Permitee D arhnent of Public Works <br /> GOLDENROD -PWID Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section BY: <br /> e Section <br />