Laserfiche WebLink
~Ol'bJU~J"Q I,b:10'flO"LIt,CJ hI,.t; <br />Date OFFICE USE ONLY <br />To:San Joaquin County <br />-Department of Public Works <br />~..jO&k-tt:H'.c,A 1,5':2..0'1: <br />(City,S{~te.lill Code) <br />al:/C()573 -Q'i3:?.rx.J2€Me 'C~~ <br />(Ama Code.reielliJolle filflJllllJer)I <I ~ <br />JOB II 1300)CJ..--<p - <br />APN <br />EXP.DATE <br />VALID. <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />REFit <br />GRit <br />DRIVEWAYS: <br />Sketch (Detailed plans may be submitted) <br />£ee..--S!ce'td<'" <br />L 0 c.~).:-t)ot\£;'vJ 0 r keel <br />The undersigned hereby applies for permission to excavate,construct and/or otherwise encroac on County Highwa Right-of-l(II<jYon <br />the E side of G'fuit'lJ &.i!e+-a.Rei approximately ee mile_,N~g~_ <br />of M a.~,t'lf!f?4 'f-<.t'-J't.Jpr,.by performing the folio wing work escription of work): <br />.4e •••,'"J Il,)oi'l<:--re_"l",t-€,...r-o $:>:at/\13, <br />Workwiii commence on orabout "7-le.-.2:t)i6 for approximately ..i?days. <br />GIVj)II -20 '-;w 16'-..1,the undersigned,certify that I.am the owner of the respective property,oram qualified to represent tile owner and agree to do the. <br />work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br />;;-50-2616 <br />!lale <br />~t\C8iTRAlSER\IlCESlGlERlCAIJPUB-SV.WK\\tASTER..PS\f1JCROACflM8<T PER,Wr APPLlc:ATlOlWOC (0.911"3)