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' COUNTY OF SAN JOAQUIN Dater/ Z / 0? <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0"-3 l <br /> PERMIT APPLICATION <br /> APP CANT OFFICE USE ONLY <br /> C�5-n JOB#11005 ISSUE DATE <br /> e _ APN 051 -_37o - FEE DUE <br /> 14-25 S. r'1 L � EXP.DATE DRIVEWAYS: <br /> Address ��72 -2 STREET QUAD OF, ` <br /> 2(�l Cc ZlpC-ode TYPE <br /> 2--12- FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFOTION <br /> C�a�t"tr\I� C.otz�7� <br /> Iarpel e s NATE.SitD <br /> Lop �,A Address ��i2�O DRIVEWAY <br /> CiC�,S'�to- p Code TYPE QUANTITY WIDTHS <br /> C2aG� 3c0 –r AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to en oath on County Highway <br /> Right-of-Way on the side of '1"12 �aol <br /> 4 <br /> City,State-Zip Code approximately 0. 0 feet/ 50,J+4 of SAwu, <br /> Z4.G 12 ,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 /> Will this project be self-installed? —NO YES Contractor's License <br /> Access\per App\FormlDrivewayPaved frontage <br />