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fkppfication - V-�3mmercial,. Coa&) B uilding Perff iit <br /> - i on-Residential Mobile UEnft) <br /> "N"QUIN COUNTY COMMUNITY DEVELOPMENT DEPARMENT <br /> 1810 E fL4MLTON AVENU STOCKT <br /> � ON,CA.SD5?Q6 <br /> BUSINESS PHONE(209)4683123 <br /> REQUEST FOR 01SPECTION PHONE PW)468-1965 P4 HOUR RECORD['.R) <br /> PERMIT NO. <br /> THIS SECTION IS TO BE FILJ D.OUT BY.DEVELOPIAENT.SERVICES STAFF. <br /> SITE LOCATION IIQFORMATION Date; Z Tec <br /> hniclan• <br /> Job-She Address: Q Q /(f ah C t 7-0 o f APN: <br />' Crass-Street: L7v ppeR 0 s 4 15 <br /> CFry: ZIP: <br /> Precise Location: .s 4 File No.: <br /> G <br /> Subd.History: <br /> Subdivision Name: AAaP F Bt/lot al+ <br /> M FACU=INFORMATION <br /> f Water SuPP1Y Existing On-SRe Well: Nary On-Site Well: Puhiic. <br /> Sewage Disposal Existing Septic System: ty New Septic System: Public: <br /> Storm Drainage No Change: New On-site system: Public: f <br /> Driveway JAceees Existing Drtveway: New With Curb-Gutter• New Without Curb-Gutter: <br /> THIS PO3DBA <br /> ATION MUST BE COMPLETELY,FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR PERMITS . <br /> REQUIRED.TO INSTALL'A COMMERCIAL COACH.Scope of W ""i <br /> LC �p .a L 1q-CBusiness NBus. Lic.No: <br /> APPLICANT NAME AND ADDRESS <br /> Name: pName: 5 o/n r- <br /> Addrass: 11 'Address: <br /> Com...5-1 State: C City: State: <br /> ZIP: Ph:ocb ''" �3 -ZIP: Ph:( ) <br /> CONTRACTOR INFORMATION Ph:( ) <br /> L ic.No: Company Name: F <br /> Address: City: St: ZIP: <br /> DESIGNER INFORMATION <br /> Ph:( ) <br /> Uc. No: 0 ! 15 Company Name: C-( r4c ivs(l L r-. IrV <br /> Address S-0 !j L St:( LP: <br /> MOVING CpNTRACTpp C <br /> Address- �7 <br /> St:el�;!� <br /> l ZIP: 5 <br /> YOVIIiG INFOFiMAT1ON Move Data: <br /> Hours: to <br /> Height: _ <br /> Width: Length:9t Weight: HCD No: <br /> Travel Route From: . <br /> To: <br /> Via: a <br />