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COUNTY OF SAN JOAQUIN Date: �7 / / 07 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#`nL <br /> 1100/5 ISSUE DATE <br /> 1 <br /> Name APN � - (�S©- FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> `` Address STREET Undine �d <br /> Sae%1sn QUAD S W <br /> City,S ate-Zip Code TYPE <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFQRMATION <br /> GK�c ( --f- (,�f4 <br /> Parcel Owners Name / <br /> // / Site Address�s� DRIVEWAY <br /> S Tp Gk 7'O!tet 614 TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @FRONTAGE <br /> 0 e? o q —O�o r, � COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ RAV <br /> RESIDENCE <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 yVoeA side of eJndlnG <br /> City,State-Zip Code approximately 0070 feet!� West of 14-Mob'er 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 App\FormorivewayPaved frontage <br />