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COUNTY OF SAN JOAQUIN Date: 4 /4 / ,7 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# U 1 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> Ar LICAN'T OFFICE USE ONLY <br /> [J(,,,2.Ln1L 1 A 5; J013# 11005 13,b ISSUE DATE l 1 <br /> _ Name APN oo 3 -� - 28 FEE DUE_� <br /> (I-AJ_ EXP.DATE DRIVEWAYS: <br /> Address �' STREET Q.R <br /> fl�A/�Ji� QUAD X/4 <br /> Ci Mate-,Zip Code TYPE # <br /> �yC/r '" FORMS <br /> T(Area Code)Telephone NOTE <br /> 2L - fle)- z <br /> SITE INFORMATION es P�� yC Z 1ocq,-111;v 5 <br /> Parcel,Ve s Same <br /> Site Address <br /> Qbn I E- 1z1�71-tG7r Lk- 14 DRIVEWAY <br /> City,St a e-Zi 'Code TYPE AGRICULTURE QUANTITY WIDTHS <br /> @ <br /> FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> NDUSTRIAL @ R/W <br /> ?1 7 45RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <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 Nor{ —side of I'S resl ZgA e_ 2d <br /> approximately��1/4 feet/pt e� w,a5,of S Pea d 2i f <br /> City,State-Zip Code y installing � iT- 3 <br /> (Area Code)Telephone b <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 frontage <br />