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COUNTY OF SAN JOAQUIN Date: ✓` 1,;,; /D 7 <br /> DEPARTMENT OF PUBLIC WORKS Received byCR# f() 3 ) • to O <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> V) af [-,,K/a/ 1c JOB# 11005 ISSUE DATE <br /> APN 9--? - 310 _ 0� FEE DUE <br /> � e) Bvx <br /> EXP.DATE DRIVEWAYS: <br /> ( Ad s, q STREET � LC. l/� • <br /> C GYLICG�'C 6/y l ��Z� QUAD S� <br /> City,State-Zip Code TYPE # <br /> FORMS <br /> (Area Code)Telephone NOTE �— <br /> SITE INFORMATION <br /> Parcel Own is Name / <br /> fe <br /> Sitess / �-d /� Cn . DRIVEWAY <br /> 50 City,State-Zip Code 7 TYPE QUANTITY WIDTHS <br /> �-14AGRICULTURE @FRONTAGE <br /> LC COMMERCIAL <br /> (Area Code)Telephone <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> AS <br /> l e U S 14ezt <br /> Address --� The undersigned hereby applies for permission to en oach on County Highway <br /> (3(d l ya S_-—, �f 'el"( Right-of-Way on the_ _ � . side of <br /> / City,State-Zip Code approximately S'ad efeet mile of <br /> �� ✓G� /-W ,by installing <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 AppTormOrivewayFaved frontage <br />