Laserfiche WebLink
THE APPLICANT HEREBY CERTIFIES: <br />1.That he/shehas read all the'provisions01this'application,andthatthe desc;iptioninduded in this applicationare correct to the best 01 <br />hisiherImowledge;and .. <br />2.Thathe/sheis the owner 01 the respectiveproperty,or isgualified to representth~owner;and <br />3.That he/shewill assumefull responsibilitylor allliabilitylor persona;injury or damage to propertywhich may arise out 01the worledescribedabove,or which may arise'out01his/herlailure to do the workprovidedherein;and <br />4.That in the eventanydaim 01suchliabilityis madeagainstthe County 01 San Joaquinor any department,official or employeethereol,heshgll delend,indemnifyandholdthem andeach01them harmlesslor such claim;and <br />5.Thatworieshallbe performedby the applicantand/orany representative01the applicationin the County Right-ol-Wayat the above <br />indicatedsite with a valid SanJoaquin CountyEncroachmentPermit;and <br />6.That il permissionis granted as requested,he agreesto do the work described in accordancewith all terms,condition and restriction01thisand~tlache~included as generalor spedalill provisions... <br />=-./~L ~7W-AJ I!>UtiM/l~~natUiApp1rcant Title •ate <br />»»»>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>FIELD INSPECTIONCOMMENTS««<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<EXISTINGCONDITIONS. <br />'1. <br />1.DRIVEWAY:None 0 Dirt 0 GravelD AggregateBase 0 Paved (poor)0 Paved(good)0 <br />2.SLOPiNG:Away from Pavement 0 Towards Pavement 0 Flat 0 <br />Depth _ <br />3.PiPES:None 0 Existing-Type~__~_~~~~__~~~__~~~~~~~-Otherpipes in neighborhood:Yes 0 No 0 Approaches 0 Cross Drain 0 Size~~~_ <br />4.HEADWALL:Yes 0 No 0 <br />5.ASPHALT CONCRETEDIKE:.Yes 0 No 0 <br />6.BARRiERS:along Right-ol-Way _~_~~~~~~~_~~~~~~~~~~~~~~~~~_ <br />7.DITCH:Yes 0 No 0 IIYes:V Style 0 2 Point 0 Other 0 Width ~__ <br />»»»»»»»»»»»»»»>>>>>>>>>>>>>>>>>>>>PERMITS REQUIREMENTS<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< <br />1.DRIVEWAY:SFR [J Commercial 0 Agricuiture 0 Industrial 0 <br />Paved with "Min DepthA.C.over 'Min Depth0/.,'A.B.over <br />Notes: <br />2.PiPES:Length 01 Pipe Required Ft and Diameter01Pipe inch(es) <br />To beconnected to any adjacent driveway pipe Yes 0 No 0 <br />Drainage Inlet Required Yes 0 No 0TotalLength:.(with proposed)Total Number 01Storm Drain inlets:_ <br />Notes: <br />3.HEADWALL:Yes 0 No 0 <br />4.PAVED FRONTAGE:Pavedwith "Min DepthA.C.over~~~~_"Min Depth0/.,"A.B. <br />Measuring Feet in length and Feet in width <br />»»»»»»»»»»»»»»»»»»»»»»»»»»»FEES««««««««««««««««««««««««««« <br />DrivewayEncroachment Permitbase lee $.135.00 <br />Field InspectionDrivewayw/or wlo pipe ~$121.00Drivewayw/box Culvert $181.00 B Paved Frontage~~~~_$116.00 +0.531ft.Curb,Gutter,Sidewaik..$12i.OG"1.16!f!. <br />.','~~.,.~:.-.~'f""''cllE:>C'"wlm""'TI:D D'~\I::t.!f'D"."'I.lUr:MTOI:D~XrrnDlIn:lM!V nr'\~mQ/1.~\P"n"'"f?