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APPLiG.A 10[, FOR- NCROACHMEN PERMIT <br /> PLEASEPRINT; <br /> Date 11/Gil <br /> OFf=10E iJSE"ONLY <br /> To: San Joaquin County JOB# <br /> n <br /> Deparhnefof,Public Works. .+ P-«c>t�5)-/ REF:# <br /> APN CR# <br /> PGgE ( JIM. FISICARO GC LINE DE.PT. ) EXP:DATE -12-�1-2 b L� <br /> A <br /> VALID -U-I--2o)t TO r3 <br /> ( pplicant Name) STREET i yam- l DRIVEWAYS: <br /> 4040 WEST LAN£ .. AREA S � QUAD <br /> TYPE h �a L'on�ro1 15" <br /> (Mailing Address) FORMS _ Rzy -- <br /> STOCKTON, CA. 95204 <br /> NOTES f <br /> (City,::Sfate,Zip`Code) : '. <br /> (209)9424780 <br /> {Area Code` Telephone Number) <br /> `Sketch(Detaiied:plans-may be sutimrtte ! <br /> REFERENCE JOB NO-. PM 3074122 <br /> PHIL SHEPHERDPG* E FOREMAN- (209)765-2 146 <br /> JIM FISICARO_ WORK COORDINATOR PGgE @ STOCKTON (209)942-1780 <br /> The undersigned hereby applies for;-P. to excavate,construct and/o�-otherwise encroach on Coun Hi hwa Ri h = <br /> the WEST. Id' of.' ft4CKTNLEy'AVE; ty g y.. g t of Way on <br /> of SPERR Y RD.. approximately. feet/mile. f <br /> PGiiE WILL BE REPLACING 2 POLES ON MCKINLEy AVE. MAXIMy CRANEng&t PGI QIIPML�NT GILL oB g�W <br /> -1,12 ON THE S01HBOUND LANE- O .MCKINL£y AVE-. BLOCKING 1 LANE OF TRAFFIC. S <br /> WILL PROVIDE:TRAFFIC CONTROL KLAN_FOR-.THIS POROJ£CT AND G1 L <br /> DURING THE DATE r)) THIS SCH£17Ul;ED.GIORK: <br /> Work will corriirtence on or about aA7 E TO<8E �)=T€RMI NED <br /> for approximately. -30. <br /> 12/1/11 TO 12/31/11 (TENTATIVE DATE) days: <br /> I,the undersigned,-cerhfy that.!am the;ownerof the Tespedve property,oram qualified to present tfie owner and agreeto do the <br /> work descnbed above in accordance with the rules artd reguiafions-of San Joaquin County and subject_to inspection and approval. <br /> dL <br /> ��&gn;ure-Applicani(-�Itij <br /> .'EmUMMWKNASTHtP51B7L1t[MG1141ENf.PERMTA7F?11CATWi,L000 <br />