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COUNTY OF SAN JOAQUIN Date: 7- <br /> • DEPARTMENT OF PUBLIC WORKS Received by - <br /> �''� DRIVEWAY& PAVED FRONTAGES CR# DO 7 <br /> V <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> t'�� (�tfGllZSS HCl Ul�s <br /> nnName JOB # 11005 ISSUE DATE <br /> 1002)4 Go APN L 'r= L-2 _ '? FEE DUE <br /> I Address EXP. DATE DRIVEWAYS: <br /> Smart" Cdr �t�cl STREET j'VA/. <br /> City,State-Zip Code AREA QUAD . S <br /> TYPE <br /> (Area Code)Telephone FORMS <br /> NOTE <br /> SITE INFORMATION <br /> KOh�� raw, <br /> Parce owners Name DRIVEWAY <br /> 4�(0 lard,. <br /> CC'f I' Site Address _ TYPE QUANTITY WIDTHS <br /> 64 ( -Zl5 GRICULT @ FRONTAGE `(U r <br /> City,State-Zip Code COMMERCIAL <br /> 2011 CAL�k — UL INDUSTRIAL @ R/W ZD' <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 /> City,State-Zip Code on gounty Highway Right-of-Way on the S�v-k-A% side of N r <br /> -C ap rox�tety /-,)g�S <br /> (Area Code)Telephone feet/djDOf PWI <br /> by installing C, <br /> Work will commence on or about tl - Ce for approximately /O days. �U/ -- <br /> SKETCH (Separate sheet may be submitted) <br /> EP <br /> Will this project be self-installed? NO YES Contractor's License (&D <br />