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"'1 1_;",,...I i'_._.',__..',."""',,.,-'-iAPPLICATIONFORENCROACHMENTPrnMlrJ_.'~l.J ..:"•.•v'I I <br />PLEASE PRINT: <br />J ~\',r••••••\.I i:'-.:-0',c,',':...i'..,-,, <br />~-OFFIC~USE ONLY <br />JOB#.13i1~-G,REF# <br />APN CR# <br />EXP,DATE e-/tpG, <br />VALID 4/t/t"TO "'A12t,DRIVEWAYS: <br />STREET r4Jto.Jif£-:r,;• <br />AREA ';;m<ek:1"t>j'.1 QUAD $• <br />TYPE -;;tutAz~-r/Uld M~/~FORMS <br />NOTES <br />To:San Joaquin County <br />Departmentof PublicWorks <br />PG&E <br />(Applicant Name) <br />4040 WEST LN <br />(Mailing Address) <br />STOCKTON,CA 95204 <br />(City,Stale,Zip Code) <br />408-316-1767 <br />(Area Code -Telephone Number) <br />Date 2/12/2016 <br />Sketch (Detailed plans may be submitted) <br />SEE ATTACHED SKETCH <br />The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Wayon <br />the East side of Flower St approximately 52'feet/mile North <br />of E Main St Stockton ,by performing the following work (description of work): <br />Digging lip 4'x8'of asphalt for a service replacement to 5555 E Main St <br />PM 31167175 <br />Work will commence on or about 4/01/2 for approximately _~6~0~days, <br />e respective property,or am qualified to represent the owner and agree to do the <br />e rules and regulations of San Joaquin County and subject to inspection and approval. <br />J41/~Dale <br />E:\PUB-SV.wKIMASTER.PS\ENCRO,o.CHMENT PERMIT ,o.PPUCATION.DOC (01108)