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COUNTY OF SAN JOAQUIN Date: 3 /�z l dl <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 0t5/ (,5a <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> /� APPLICANT. OFFICE USE ONLY <br /> L'L�CIC► C��n �-�3�� JOB# 11 5 ISSUE DA / / <br /> 1, N e i APN�-JJ� - �J FEE DUE <br /> 7 y S /1 T a n cL - EXP.DATE DRIVEWAYS: <br /> Addressr STREET —1—KZ, <br /> ±GGr v-',o Com- .��'/ QUAD S <br /> City,State-Zip Code TYPE u/ <br /> FORMS G� <br /> (Area Code)Telephone NOTE <br /> SIVE INFORMATION <br /> �YnG"e Lo. J_yI �0— l <br /> Parcel Owner's Name <br /> /DG 1r cite Address <br /> 1 a ;+ ' DRIVEWAY <br /> -f—T—l-1 City,State-�Zip C-ode ���— TYPE QUANTITY WIDTHS <br /> �) 17> 1 9,2 0 AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> ---------------- <br /> CONTRACTOR PAVED FRONTAGE <br /> i„ LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the side of V1 a u n er Ave. <br /> City,State-Zip Code approximately D.43 feet mil N orl-k of Man,i 9 -- <br /> 0 ,by installing D�. <br /> (Area Code)Telephone <br /> Work <br /> will commence on or\lbout for approximately days. <br /> SKETCH(Separate shee Ty be submitted) <br /> Del fLld� Ave. <br /> ,I <br /> r7 <br /> WDSA''Y _ Aue' <br /> Will this project be self-installed? _NO YES Contractor's License <br /> Access\Per ApplForm\DrivewayEaved firontage <br />