Laserfiche WebLink
TION FOR ENCROACHMENT PERMIT <br /> x' PLEASEPRINT <br /> y <br /> J Date 10/19/11 OFFICE USE ONLY <br /> K <br /> To: San Joagwn County .106# <br /> DepartmentofPublic WorksP 7�yySZ-G REF# <br /> APN <br /> CR# <br /> EXP:DATE <br /> PGSF ( JIM FISXCARO GC LINE 1JEP7. ) VALID 2- 20 I1 TO <br /> (Applicant Name)_ STREET - 2 (- l-2p I DRIVEWAYS: <br /> 4040 GEST LANE AREA QUAD S <br /> TYPE <br /> (Mailing Address) FORMS <br /> NOTES <br /> STOCKTON CA. 95204. <br /> 6 State Zi Gode <br /> (209) 942-1780 <br /> (Area Code Telephone Numbed <br /> Sketch(Detailed.plansrnay besubmitted) R`EERENCE JOt3 NO. PM 30737 <br /> CURT SCHMIDT_PGSE FOREMAN' (209)598-4672 <br /> JIM FISICARO .WRK COORDINATOR PGiE 0 STOCKTON (209)942-1780 <br /> The undersigned hereby applies forpermission to excavate,construct and/or otherwise encroach on County Highway Right=ofVay on <br /> the sitle of`: <br /> of _ approximately feet/mile. <br /> by performingg�the followrn .work((desGGnptipn Qf w ) <br /> PG&E WILL $E RFCUIVDUCTOR7:NG TOMER LINE llIERRA/TRACY KASSON" 113KV FRO ng O- dr R NU: 637-6V�.' <br /> WORK AREA ON MANCUSO RD.' APPROX 1:2 MILES N/O KASSON RD, TRACY T. WER E RD. <br /> LATHROP (TO(ui R 637 NEAR: BRQGIN.SAfJD CO, ) TRAFFIC PL S TIME <br /> PERIOD IN DECEMBr=R:WHEN-:CABLE,.PULLER GALL BE SE7 UP. <br /> STAT ITE <br /> PROTECTION FOR..IHIS 'PROJFC7 <br /> 'Worm will c ominenee on or at�out <br /> for approxunately 3 0 tlays. <br /> I,the undersigned,certify that I am the ownerof the respective property,oram qualified to represent the ownerand agreeto do the <br /> work descrrbed above..in accodance:Vvith the:rules arrd regulations of-San Joaquin County and supject to <br /> inspect' and approval. <br /> Signature of Applicant itlev <br /> Date_0u�sv_mv+kStetPse oa4smir.aowAwwwm-s <br />