Laserfiche WebLink
API'LICATIONFOR ENCROACHMENT PERMIT .. <br />~-... <br />• <br />DRIVEWAYS; <br />• <br />'., <br />OFFICE USE ONLY <br />, <br />PaCific Gas and'Electric C.o. <br />'./j ".'~'.'f~i '~c ,0 V'4E:sij LN .. <br />Stockton,CA 95204- <br />07-II.. <br />PUiASE PI'1INl)I JJj <br />Date JeriWf ~S <br />'.7:::",1Q:,,.~~:?ali.JliaguiiJ,GDim!¥_.._,_.".....".-...--."c ,JOB#..,~.-C"?:.2(}O-s.~.REE #~. <br />Department of PublicWorks APN',CRt...EXP.DATE 3 -1$-Il. <br />VALID 2-2..V6 TO ~~U <br />STREET .&Mtfa ~ <br />AREA 4l""f"1 QUAD AlGTYPE <br />FORMS <br />•NOTES <br />(46t;».:31~.-IIto] <br />..(Area Code •TelepholiejIJum~er) <br />Skelch (Detai/eci plans may be su~mitted) <br />See attClc:hed sketch. <br />PM B 1115Go45 <br />Notif.\\053'2.511 <br />) <br />J'I <br />", <br />II. <br />Traffic Control Plan <br />Shall qe as.per <br />current M.U.T.C.D. <br />California supplement. <br />Please return permit to: <br />tCD Desk <br />4040 West Lane <br />Stockton,CA 95204 <br />."..'.''..,.-~.-.. <br />.slruct andlor orhelWise encroach on Cpunty Highway R!ght-,gt;Way~, <br />.approximately 510 .'feetilliill},~~~~lH <br />~.0 by perforrplngthe following work (description ofwbrk):.. <br />=rtJ$iAU.561 cf ~I Up 3n::'-'EL6/JS MAlN 775 i)EAdlVA1_tE~.f ~"~,::3'I?:~&J4U3LE .\/AW£5",G~--/)~~_~_ <br />Work willcommence onor about ;;z/'i:..JJIe..flirapproxlmately :30..days.I f <br />I,the undersigned,certi~.thall am the oWnerof the respective property,or am qual/fled to representihe owner ~nd agree to ciothe. <br />WO~2:d above in.accordance withthe J:Ulesand regulations of San Joaquin County and subject to Inspection and approval..(,/!J~.02.lfi .~:.V.~zDlvs <br />.~.,Signa!Ure?,f APp,lIcant~.'.J:"''-I'1/r-:...n-..(Date...~-7)e•.C-I\-It:::I •c;:;..J I , <br />£:\PtJB'.SV.I'/l(\.'./ASTERPSlEIlCROACfIl.lENl'PEllt:JT "'/'UCA'OOlL~~ <br />Please return permit to: <br />CCD Desk <br />4D40 WestUine <br />Stockton,CA9S2D4 <br />! <br />IIIl-I