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COUNTY OF SAN JOAQUIN Date:%/ w <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0 <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DA� <br /> n Nam APNJO 3 -160 -0_ FEE DUE /&U <br /> EXP.DATE <br /> DRIVEWAYS: <br /> Address STREET SEE G�Ei,2 ,a2D� <br /> [) k b% ' T rV QUAD E <br /> City,State-Zip Code TYPE Z>A-> <br /> L--1 r j,Oe W 0 11.52 3 FORMS 0- 1-7 <br /> (Area Code)Telephone NOTE <br /> p ci l <br /> SITE INFORMATION <br /> w L u N iv it ML-m YRw t j n <br /> Pgikel Owner's Name <br /> 1 Z-71 (k1 EeL-i 4 IZ <br /> CSite Address DRIVEWAY <br /> A q—g-z"i S TYPE QUANTITY WIDTHS <br /> City,State-Zip Code <br /> AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL. @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of--Way on the side of ,2oprla-er &ad <br /> City,State-Zip Code approximatel (fe mile of An k&)4"A, <br /> &-40( ,by inst g Dryinc. - <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? —NO YES Contractor's License <br /> AccessTer AppTormOrivewayPaved frontage <br />