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COUNTY OF SAN JOAQUIN Date: Z /-&/ <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 3 <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> ame I APN 2577 - o3lo-_Z FEE DUE <br /> Z C� S • 1 — EXP.DATE DRIVEWAYS: <br /> ` Address STREET Z; A014H WaAA » <br /> 1�4Ly1 CCS C#-, 11S--S 2!, AREA_ Man4e.C,a q QUAD <br /> City,State-Zip Code TYPE DW s <br /> t LO& -- 4 SS:S FORMS SS/ W <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> Z 5~7 a c,3 D — 2—O <br /> Parcel Owner's Name Swale <br /> Site Address <br /> lnn�C e'tw CC� Q('S 3 "�_ DRIVEWAY <br /> C City,State-Zip Code TYPE QUANTITY WIDE <br /> Z0) X10(v — t-1'5� C SR @ FRONTAGE <br /> (Area Code)Telephone <br /> INDUSTRIAL @ R/W <br /> RESIDENCE L/ <br /> CONTRACTOR PAVEDFRONTAGE <br /> Name LENGTH: Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the side of /atvoc�rf Ute, <br /> City,State-Zip Code approximately l 000 feet mile <br /> ,by installing___ <br /> (Area Code)Telephone <br /> will commence on or about for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AccesslPer APplFcrmlDrivewayPaved frontage <br />