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COUNTY OF SAN JOAQUIN Date: / /U <br /> DEPARTMENTReceived by OF PUBLIC WORKS CR# p 3 32 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN O0 - I tO - FEE DUE /"'/-. O <br /> -s[nl [T({ EXP.DATE DRIVEWAYS: <br /> Address STREET U/✓d� <br /> 3.7 3 Z M av►,—ky - t"�. �d QUAD N E <br /> City,State-Zip Code TYPE <br /> S'�UZ6c tt9-t [ A . C'1 Z I f FORMS — <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION /'D/ c <br /> Parcel Owner's Name <br /> qla &-u Ly Sk( l <br /> Site Address DRIVEWAY <br /> ZSZ AI <br /> A Q 0 A V 4-A) ' TYPE QUANTITY WIDTHS <br /> City,St e-Zip Code FRONTAGE <br /> / CA ��S 2 �l� AGRICULTURE L/0 <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> ?,0q) �ISr CU r 7O& RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> 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 MMy n c!H Lane <br /> City,State-Zip Code approximately 720 Com%mile SocJf'l, o d n Lake <br /> by installing D tws <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 /> Ao ss\Per App\F o m\DrivewayPaved frontage <br />