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' COUNTY OF SAN JOAQUIN Date: 3 / 5 / 1•7 <br /> *PARTMENT OF PUBLIC WORKS • Received by <br /> IVEWAY& PAVED FRONTAGES CR# <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> Rl�1r''tonc! L'I reset Lons� Go. <br /> Name JOB # 11005 ISSUE DATE <br /> ( III Flf' t - APN 0`/2 -Zoo _l'fr/SfG, FEE DUE <br /> Address EXP. DATE 3-�/_ 5__�� . DRIVEWAYS.- <br /> EEC <br /> CL�rI �t Oj`532C STREET /VelVfaf l PO ,• <br /> City,State-Zip Code ri��C« <br /> AREA S%a� 7`Oitt <br /> QUAD : fig <br /> 4)1" <br /> � , <br /> TYPE DP-ty6�tll+y / <br /> • S>�X � <br /> (Area Code)Telephone FORMS .SS <br /> NOTE e> K ;Sswe <br /> cr- <br /> SITE INFORMATION <br /> �� coy.•i I <br /> Parcel Owners Name DRIVEWAY <br /> - �4,P-W4 ,� P,� . <br /> Site Address TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> City,State-Zip Code COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR <br /> tl l"I G-10eQ ' PAVED FRONTAGE <br /> Name LENGTH: Ft. X WIDTH: Ft. <br /> 1111 risf `M - <br /> Address <br /> CC - 2 y The undersigned hereby applies for permission to encroach <br /> City,State-Zip Code on County Highway Right-of-Way on the �� side of <br /> 12-00)-33�-3s�3 0 +-CDC) QoQcl <br /> approximately <br /> (Area Code)Telephone th fleet./mile nor h of Gfler-DA�. c 1� <br /> by installing --Etar� �O��,vt��cCi;4r✓ <br /> Work will commence on or about _S22for approximately 0 days. <br /> SKETCH (Separate sheet may be submitted) <br /> Will this project be self-installed? --X,NO YES Contractor's License fS-7 f6 <br />