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Get CA Encroachment Permit Application

Ocation: Lot(s) # *Nearest X Street: Job Name: Job # *Estimated Starting Date: City File No. *Project Duration: DESCRIBE WORK OR ACTIVITY WITHIN THE PUBLIC RIGHT-OF-WAY: (attach 3 copies of plans/sketches showing work) SIDEWALK; DRIVEWAY APPROACH; WATER SERVICE; CURB & GUTTER; FIRE PROTECTION; PEDESTRIAN RAMP; SEWER LATERAL; Use back side of sheet if you need more room. STREET LIGHT; ABANDON SERVICE; PLANTER STRIP; TRAFFIC CONTROL * Public Improvements Construction Cost $ *Ap.

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