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Tuesday, March 16, 2010

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City of San Jose - Public Works
Permitted Exception Report Form


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CSJ Dept

Address

City

State

Zipcode

Project Manager

Phone

Extension

Date of first lane closure

Construction Supervisor

Location of Lane Closure

 

   Street (e.g. First Street)

   Limits (e.g. from_to_)

   Direction (e.g. NB, EB)

Nature/Cause of Permitted Exception

Work that will be performed

Dates/Times/ and # of lanes that will be closed

 

 


Lane Closure

 
 
 

Department of Public Works
200 East Santa Clara Street, San Jose, CA 95113
tel. (408) 535-8300

 

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