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COUNTY OF SAN JOAQUIN Date: <br /> OPARTMENT OF PUBLIC WORKS Received by <br /> ' DRIVEWAY& PAVED FRONTAGES CR# 6)(OS7R <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> Name J1013 # 11005 ISSUE DATE / ! <br /> 2 rOn Gl APN - zy- 6'Z- <br /> FEE DUE <br /> Ad r ss EXP. DATE `�--r —`� DRIVEWAYS: <br /> 32e STREET t�,� yj'(,,•� <br /> C' ,State-Zip Code AREAfu <br /> ( � QUAD-,if,) , Seef <br /> SZ� —gS70 TYPE N-e ve i-1 <br /> (Area Code)Telephone FORMS kc et <br /> NOTE <br /> SITE INFORMATION <br /> Parcel Owner's Name DRIVEWAY <br /> Site Address TYPE QUANTITY WIDTHS <br /> t I aGy &3:z:,G AGRICULTURE @ FRONTAGE <br /> City,State-Zip Code COMMERCIAL <br /> INDUSTRIAL @ RNLI <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR <br /> PAVED FRONTAGE <br /> Name LENGTH: Ft. X WIDTH: Ft. <br /> Address <br /> The undersigned hereby applies for permission to encroach <br /> Cay,State-Zip Code on County Highway Right-of-Way on the side of <br /> 41.11 v;�(� Strirf approximately <br /> (Area Code)Telephone 2 rao fee.Q/ mile kio r4-k of F r,� W-r J , <br /> by installing <br /> Work will commence on or about `l for approximately 5�� days. <br /> SKETCH (Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br />