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COUNTY OF SAN JOAQUIN Date: 7 <br /> DEPARTIVENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> _ '�j f_,C)3D F-7E`r JOB#11005 ISSUE DATE <br /> Name APNO6,5 - 2450 - O/ FEE DUE <br /> F-1 'tUKAY C0c.40nJ Y i°l�> EXP.DATE DRIVEWAYS: <br /> Address STREET r,0,&0!Z ('0/6,"4z Ra; <br /> c, Z-OD/ e A- 95-2-40 AREA Lo D z / QUAD <br /> City,State-Zip Code TYPE Dw <br /> 4 -- 5-5-1- FORMS 55 /, ijd <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION e/0 <br /> 4- g#RAAJ <br /> Parcel Owner's Name <br /> /3 SP�o E• 7�RY ��.o�Y y ,�I�. <br /> Site Address <br /> L�17i (34- y7 y`f't7 DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State-Zip Code <br /> ��j�� 9:3 <br /> >3!_t 5-5-5-- AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <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 a 4 side of 75 a, <br /> City,State-Zip Code approximately feet/mile of G I ,ev, <br /> by installing Qw� <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 AppTorm\DnvewayPaved frontage <br />