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COUNTY OF SAN JOAQUIN Date: Z / / /01- <br /> DEPARTMENT <br /> 1- <br /> DEPARTMENT OF PUBLIC WORKS Received by ,G8 <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> --� 7� 16— JOB# 11005 ISSUE DATE <br /> q Nage �j APN //7- - /moo _-,�_ FEE DUE <br /> CAP, /Ir EXP.DATE DRIVEWAYS: <br /> �j fires/ , _ df STREET 6tJ/LSLK/ GcJAf� <br /> I �_ _ ����- --( 1 /�, / S7O[!c-�oN QUAD <br /> City,State-Zip Code TYPE s <br /> FORMS 9S/taco <br /> (Area Code)Telephone e.—e-*4 Yh14 NOTE <br /> SITE IF RMATIO. C� <br /> ,y,,2 ,/-1 10 '/'-C/P <br /> Parpel Owner's <br /> '7 <br /> /1Name <br /> I/, 1,4 � <br /> / LS�ite Addre <br /> DRIVEWAY <br /> City State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ RAV <br /> RESIDENCE <br /> C TRACTOR _ PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> �es The undersigned hereby ap�p.�li+�s for permission to encroac on County Highway <br /> �, _r( %1 / g' Right-of-Way on the for side of��—�e <br /> City,State-Zip Code pproximately 960 /mile /Uor{ -Of- <br /> 609 __ <br /> C7�- 1.z �z® 1�cshn o S�-t ,by installing <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> YOW C/� Is& . <br /> Will this project be self-installed? _NO YES Contractor's License �3T <br /> AccessTer App\FormlDrivewayPaved frontage <br />