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COUNTY OF SAN JOAQUIN Date: % /olio l 6 <br /> DEPARTMENT OF PUBLIC WORKS Received by_ P#,&�_k, <br /> CR# d 313:3 ) <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN Z.01_- 1 So - off_ FEE DUE <br /> �cEG d.t'fe-S k1R2eu A-�>llA(¢ EXP.DATE DRIVEWAYS: <br /> Address STREET J&,-y 'jyne Qoad <br /> lou ? S AREA STaciczar.! QUAD S� <br /> n City,State-Zip Code TYPE r <br /> JQ rpo,V 0 A 95 3� L, FORMS R -17 <br /> (Area Code)Telephone NOTE <br /> -3 oi"3 <br /> SITE INFORMATION <br /> Parcel Owner's Name r <br /> V A KJ Id iZ ®N I Al 6 F-=& 4 511 AJ AJ <br /> Site Address <br /> /V0 3% 5_ j 4 e E Td v C ;�c� DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 114N-tF C tl , L4A �S 3 C AGRICULTURE _ @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> USTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> A wb4v w Asp B!d-C-F -t /A. LENGTH: Ft. X WIDTH: Ft. <br /> r <br /> Name <br /> Address The undersigned hereby applies for permission to Qneroach on County Highway <br /> R O o AJC^ � '}s� [` �, Right-of-Way on the A/,s� side of ��,L/! .,n P.&A I <br /> City,State-Zip Code approximately O, 33 feet mile Nk }1� of 4�rA Ls Ap Rd. <br /> ,by installing fir iiw L.t1e j <br /> (Area Code)Telephone <br /> O 2) 5-94 - - LY3 <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> c' 1 <br /> Will this project be self-installed? NO YES Contractor's License <br /> Access\Per AppTormlDrivewayPaved fimtage <br />