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11/1.4/2006 17:31 2094689324 SJCO PERMITS PAGE 01/02 <br /> AmAL' _7 tc'QAIUt APPLICATION .POR ENCROACHMENT PERMIT <br /> FLE�� Q�ZNT- <br /> Date Z9 dFFXCTl: USE ONLY <br /> To: San. Joaquin County JOB #. REF' # <br /> Department of Public works APN CR # <br /> 1 L <br /> Exp. DATs (-!4 C17 <br /> N % <br /> n� VALMD. — 4'_07 TO 1- [4­07 ARIVTtiWAYS <br /> �t5g (Ap licarnt; Name) STFSETAMU � Ct?.: <br /> Typh" U .L 1JilJ�IJ J * 1 <br /> (Mailing Addxeam) FORMS. <br /> 'NOTE <br /> (City, State, -Zip Code) <br /> (Area code - Telephone Number). <br /> r ?,p9/234. 77 3 <br /> sketch (Detailed plans may be oubd►itted) <br /> Sundance Running Club of Stockton wishes to sponsor and hold the CALIFORNIA40 road 10 mile and <br /> 10K running races on Sunday, 14 January 2007. The starting time is 9:00 AM and a duration of three(3)hours- <br /> expected. <br /> oursexpected. The proposed race courses would begin and end on the grounds of San Joaquin General Hospital and <br /> utilize sections of Manthey, Manthews and Howard Roads. The basic course layout is 'shown on the attached <br /> diagram and will require limiting cross traffic on Manthey,Mathews and Howard Roads while racers are present. <br /> the two(2)water stations will be set up along the roadside on Howard Road at the 3 and 5 mile points of the race. <br /> The Sundance Running Club can provide necessary signage to be placed at designated intersections indicating that <br /> a road race is in progress. <br /> All proceeds from the event (after expenses) will be donated to Hospice of San Joaquin. <br /> TJhe undersigned hereby applies for permission to ,excavate., construct and/or <br /> otherwise-encroach on .County Highway Right-of.W Way••oa•the 73ide'..of .. <br /> approximately feet/mile <br /> of r +. by:Pe4r€ormixtg the <br /> following work (description of: work) : <br /> work will .commence on or about for approximately <br /> days. <br /> I, the :undersigned cbxtify, that I am the owner of; the respective -property, or am <br /> qualigied to represent -the owner and agree to, do ,the wbsk described above in , <br /> accordance with. therules, regul4tions 'of San Joaquin County and subject to <br /> iXiSpeation and approval. <br /> Sign kture of Appliaant Title Date <br /> MA 7AR.P9\AR[[i;CHDL (0/00) <br /> 1 <br />