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COUNTY OF SAN JOAQUIN Date: f / f 7 <br /> Received by <br /> DEPARTMENT OF PUBLIC WORKS CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APN 60?-1BL_ FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> _ A ess STREET PSE6!KE1e RM <br /> V ( 'S-l(v �e�./ QUADS <br /> _ City,State-Zip Code TYPE VW <br /> CA c)a Z 5 L FORMS <br /> (Area Code)Telephone NOTE <br /> - 2-k5-0 <br /> SITE INFORMATION N� <br /> Parcel Owner's tName <br /> Site Address DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> '� ►� ". C N, �5,Z�,�- COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL _� @ R/W <br /> RESIDENCE <br /> `Z_ <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 15,f S side of_/'JiPr c�7 er a2d. <br /> approximately feet/mile of dot <br /> City,State-Zip Code 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 /> AccmTer AppTormOrivewayPaved frontage <br />