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APPLICATION fOR ENCROACHMENT PERMIT <br />AT&T /Sherry Parks (Permits Desk) <br />(Applicant Name) <br />, <br />2016f'iAR I ~PM I:53 <br />DEPT OF f'UcrUC WORKS <br />OFFICE USE aNI.Y <br />JOB#730{)79'REF# <br />APN CR# <br />EXP,DATE 5-iS-It:. <br />VALID f.-z-{6 TO 5:"/>-/6 DRIVEWAYS: <br />STREET tRwev:&A • <br />AREA £fflaf?QUAD SE <br />• <br />TYPE .. <br />FORMS Rke;NOTES <br />n <br />5555 E.Olive Ave <br />(Mailing Address) <br />Fresno,CA 93727 <br />(City,State,Zip Code) <br />(559)454-4900 g26977@att.co <br />(Area Code.Telephone Number) <br />To:San Joaquin County <br />Department of Public Works, <br />PLEASE PRINT: <br />Date 02/29/2016 <br />Sketch (Detailed plans may be submitted) <br />Please see the attached drawings. <br />The undersioned hereby applies for permission to excavate,construct and/or otherwise encrnech on County Highway Right-of-Way on <br />the South side of E River Rd approximately 2601 feet/mile feet <br />of McHen ry Ave ,by performing the following work (description of work): <br />Place 2'-1-4"duct via trench,Place (1)30"x48"new splice box at the __ <br />property line.Traffic control plan is in place on E River Rd for trenching <br />'and on Mc Henry and East River road for aerial access.Please see the -- <br />attached drawings. <br />Work will commence on or about 3/30/2016 for approximately 3_0 days, <br />I,the undersigned,certify that I am the owner of the respective property,or am qualified to represent the owner and agree to do the <br />work described a ave in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br />M:ICENTRALSERVICESlCLERICAL\PUSSVWK'.MASTER.PS\ENCROACHMENT PERMIT APPLICATION,DOC (09113)