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COUNTY OF SAN JOAQUIN Date: / ^ /67 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0ZL5 <br /> `' <br /> PERMIT APPLICATION <br /> `� �P� C� x JOB# 11005 OSCE USE ONLY <br /> FISSUE DATE <br /> 9 y� ,, �°e APN&S(o -0-70 -� FEE DUE <br /> /`��/ - �1� �_ EXP.DATE DRIVEWAYS: <br /> CC Address/ 11STREET <br /> - �-�1 C�� . <br /> 1r6<L1cr6 QUAD M <br /> City,State_p Code TYPE vvJ <br /> cf L/ 7 7 <br /> FORMS_ 5'5 ww -12 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION . <br /> L e5 /1 p�*_ <br /> Parcel Owner's Nalge <br /> Site Addre p <br /> DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE <br /> (Area Code)Telephone <br /> COMMERCIAL G�FRONTAGE <br /> INDUSTRIAL — @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <br /> Name <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the v ,44A side of CHUGCity,State State-Zip Code approximately <br /> 0--as feet/mile s of <br /> by installing_- (MA1 <br /> (Area Code)Telephone <br /> Will commence on or about Work <br /> for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AO-ssTer AppTorm0rivewayPaved frontage <br />