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COUNTY OF SAN JOAQUIN Date:/ V41 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 0 320 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> N APNd! FEE DUE <br /> tT�0"A 14 EXP.DATE DRIVEWAYS: <br /> Address STREET GJt�D 2i <br /> I d11�-E V� T-z QUAD <br /> � rty�,State-Zip� - TYPE >% <br /> A4CFORMS <br /> sT � l7 <br /> (Area Code)Telephone NOTE <br /> =INFORMATION <br /> V.�Sit, <br /> A � js'�� ' DR.IVEWAY <br /> ty,State-Zi Code TYPE QUANTITY WIDTHS <br /> x Ci AGRICULTURE @FRONTAGE <br /> r'Q' � '� COMMERCIAL T— <br /> (Area Code)Telephone INDUSTRIAL @ R/W <br /> to-lz-1 k- 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 So 04 side of Wood.6P1Q a t <br /> City,State-Zip Code approximately feet/mile Glc <br /> by installing 46as4' <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 /> XwesslPer App7ocmOrivewayPaved frontage <br />