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U!11.N COUNTY OF SAN JOAQUIN <br /> ooG DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE <br /> - - ---- <br /> a <br /> EP No: LP-06 ', 3201,NW <br /> < STOCKTON CALIFORNIA 95201 —1--- <br /> Date Issued: (09/20/2006 <br /> • • (209)468-3000 f _ <br /> Expiration Date: 10/l5/2006 <br /> FAX#(209)468-9324 p <br /> ��rFOR Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: <br /> To: OUR LADY OF FATIMA SOCIETY Encroachment Type: TEMPORARY ROAD CLOSURE <br /> PO BOX 611 Location: ISACRAMENTO BLVD.-OAK ST.-LOUSIA AVE.- <br /> THORNTON,CA.95686 STOCKTON ST.-THORNTON RD ON10/14/2006 FRIN <br /> ------- -_-- --. - - _ 9:00 AM-2:00 PM&6:00 PM-10:00 PM. <br /> SACRAMENTO BLVD.-PINE ST.-THORNTON RD.& <br /> MOKELUMEN AVE. 10/15/2006 FROM 9:00 AM TO <br /> 2:00 PM <br /> In compliance with your request of 09/12/2006 ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and su �e�a t e erms,con tttons and restrictions written below or printed as general or special provisions <br /> on any part of 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 the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of <br /> way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual 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 in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: IGAS STATION AND CARD LOCK GAS STATION IN ADDITION,TO ALL RESIDENTS IN THE AREA OF THE <br /> (PARADE ROUTE NEED TO BE,INFORMED OF HOURS OF THE EVENT AND THAT ACCESS TO THEIR <br /> (RESIDENCES MAY BE RESTRICTED. <br /> i <br /> I I <br /> THOMAS R. FLINN, Director <br /> D artment of <br /> Est.Permit Fee: $115.00 Public Works <br /> FORMS: SS/WW By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> Access\Perrnits\FormS\Encroachment Permit Revised 07/2000 <br />