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COUNTY OF SAN JOAQUIN Date: / Z 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES cR# DZ? � <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> AkaZ1i/.A/ hOw-9'2D JOB#11005 ISSUE DATE <br /> Name APN r15- - J I 0 - 29 FEE DUE - <br /> 1404 E. �' 57; EXP.DATE DRIVEWAYS: <br /> ddress STREET FA I jeMaxY " A✓E. <br /> 1lO ,V, 9s2l.YoAREA 151laG.-7t�1✓ QUAD ZA.25 <br /> Ci State-Zip Code TYPE 7;ko <br /> q FORMS 15 u�w. -►� <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> Parcel Owner's Name <br /> �ZS 5. �f�i,�ilrlorlr' f�i� <br /> Site Address <br /> �TaC/eTO+U, ��r} 9szoDRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: pr—� <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the side of �il4�r�La^ f <br /> City,State-Zip Code approximately /�y(� ee mile S'Uzi of '—U <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 /> AcemTer AppTorm0nvewayEaved footage <br />