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COUNTY OF SAN JOAQUIN Date: 3 /-Z? /O <br /> DEPARTMENT OF PUBLIC WORKS Received by– Z, — <br /> DRIVEWAY AND PAVED FRONTAGES cR# ;S& <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATES / / <br /> � Name APN Zoe 7o - 70 FEE DUE Y/XO, 00 <br /> Vi7GGEY PC� � 5 vf�. EXP.DATE DRIVEWAYS: <br /> Address STREET LOUt #445. <br /> f?b 30.E -S799 6 QUAD SACS <br /> City,State-Zip Code TYPE �u <br /> 6f/1yis�o, GIXI ��3S� FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION N� 0 <br /> Parcel Owner's Name <br /> 186 €-. Loo/54- Aug. <br /> Site Address <br /> ESG,96,a,,D. CIA p53ZO DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <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 side of L Owse- Aie, <br /> City,State-Zip Code approximately D.So feet/ 'le gysA of Wap�,- .42d <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 ApfformOrivewayPaved frontage <br />