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COUNTY OF SAN JOAQUIN Date: 3/-1 / 07 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> / <br /> ek�, CANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> NameAPN 1 A - a3o - 03 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET Com. FvtfA Camp r+h - :) : <br /> 6A F ce rich camp QUAD _ # <br /> City,State-Zip Code TYPE wy s <br /> ( O� �,S (ri — 7P O ��- FORMS G``/W W , <br /> (Area Code)Telephone NOTE <br /> / sITE OB IA I 1 /0 0 e <br /> /S S G Parcel O`yvner s Nf�e *1D <br /> Site Address <br /> e-n,n C f� DRIVEWAY <br /> Ci ,State-Zip ode TSE QUANTITY WIDTHS <br /> �-� — - URE <br /> p a_- AGRICULT@ 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 ap lies for permission to encroach on County Highway <br /> Right-of-Way on the side ofke-nr-n &m h Rot <br /> City,State-Zip Code approximately 35-o (ec�t/mile ) K) of c ve, <br /> by mstalhng (ecu <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 fi mtage <br />