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COUNTY OF SAN JOAQUIN Date: 3 /2'' /o-7 <br /> DEPARTMENT OF PUBLIC WORKS Received by SG <br /> CR#F X39 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> / Name APN(43 - z4o- 61 FEE DUE * I E50. — <br /> Vi�{GGE/ EXP.DATE DRIVEWAYS: <br /> Address STREET (k-)oc,FE' 9b, <br /> 7?y. SOX S 78�lo(o F 2e w�c+� cq ry�P QUAD!_ <br /> City,State-Zip Code TYPE LA-) <br /> q 5's ��7 FORMS sS R- 1`7 <br /> (Area Code)Telephone NOTE <br /> 764-5 <br /> SITE INFORMATION <br /> Parcel Owners Name <br /> Site Address DRIVEWAY <br /> F2E 1JCtt C,9✓4 P,. C)9 CIS 23/ TYPE QUANTITY WIDTHS <br /> City,State-Zip Code <br /> AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE ✓ <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 � xs - side of 14&46:, RV <br /> City,State-Zip Code approximately Z 5 D ©/mile use u rI�L^ of Spred Rd <br /> 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 /> Access\Per Apfform06vewayPaved frantage <br />