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,-.~"j;:,,_r ,If"-i ..,,:,!..,:.~,:,:- <br />OFFICE USE oNLY ,- <br />JOB#750072...'REF# <br />APN CR# <br />EXP,DATE {O-3/-(b <br />~~~~ET i-rAt aTdo'~+:;6 <br />DRIVEWAYS:• <br />AREA ~::'~~QUAD SE • <br />~~~s ~'{~h212..2.7 • <br />NOTES <br />.i\c':.~".._I 1.:••~L: <br />APPLICATION FOR ENCROACHMENT PE~Wtlt:J {)I,;,:i'::C u::r y <br />2010JUL -7 pj'i I:17 <br />To:San Joaquin County <br />Department of Public Works <br />PG&E <br />(Applicant Name) <br />4040 WEST LN <br />(Mailing Address) <br />STOCKTON,CA 95204 <br />(City,State,Zip Code) <br />408-316-1767 <br />Date <br />PLEASE PRINT:-lll/IL7 <br />(Area Code -Telephone Number) <br />Sketch (Detailed plans may be submitted) <br />SEE ATIACHED SKETCH <br />The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br />the W-e "J./.-side of 5'F.,L Do ,2"",Do '7!--approximately 2-'K ?:'feet/mile jV"v +-4.1 <br />of L ""\...0 -e..LL 5 i--,S {..,.,cl"-f v '"",by performing the following work (description of work):?l €xc.V.J-J••../.'5 Ii)'cJ--)<",--3.e//Ilea:/M..As'p."L./., <br />Work will commence on or about II for approximately O days, <br />I,the undersigned,certify that I am the own <br />work described above in accordan the <br />s ve property,or am qualified to represent the owner and agree to do the <br />nd regulations of San Joaquin County and subject to inspection and approval. <br />,Date <br />,E:IPLlB-SV.WKlMASTERPSIENCROACHMENT PERWT APPLICATION.DOC (01108) <br />,r