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COUNTY OF SAN JOAQUIN Date:4 / 3 / 67 <br /> DEPARTMENT OF PUBLIC WORKS Received by-]—K <br /> cR# e)3) Sci — <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT r OFFICE USE ONLY <br /> OB#11005 ISSUE DATE <br /> Name APN 229 -1�_ FEE DUE <br /> � fr EXP.DATE DRIVEWAYS: <br /> Adddrr� /'�J STREET/ 0�1^ariJ <br /> Zr�C�/��[� Lss� zr d� S�(� g5.1 `QUAD C;W * <br /> City,State-Zip Code TYPE Mu <br /> 69 !�1!5 �2 3 ( FORMS lid, "17 <br /> '�— (Area Code)Telephone NOTE —� <br /> SITE INFORMATIO / <br /> Parcel Owners Name <br /> Site Address <br /> DRIVEWAY <br /> n, <br /> TSE 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 A y side of_^X IUY 7O" <br /> City,State-Zip Code approximately 9&— amile W/�os� of P 0� <br /> >by installiig <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 /> AccessTer ApfformlDrivewayFaved frontage <br />