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COUNTY OF SAN JOAQUIN Date: S / 9 0 <br /> DEPARTMENT OF PUBLIC WORKS Received by�_ <br /> DRIVEWAY AND PAVED FRONTAGES CR# D 3 z zoo <br /> PERNIIT APPLICATION <br /> Ar LICANT I OFFICE USE ONLY <br /> - - -��y--�—n--� JOB#11005 ISSUE DATE <br /> amN e APFEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> S 7 6 Xz <br /> �AddressCS Zai STREET !q- <br /> AREA <br /> l�� # <br /> // �7o c_K�6 QUA <br /> City,State-Zip Code TYPE `?>vJ <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> a 2E55q o -03 17 <br /> Parcel Owner's Name <br /> �3 2 ?iyS,'�n• 1 <br /> Site A�Cess <br /> S7i�ifi Al `7 5 Z l Z DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> F Z - ��j�� AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/VA <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <br /> Name LENGTH: Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on Co.7ty Highway <br /> Right-of-Way on the side of �; , , <br /> City,State-Zip Code approximately Z#do ee /mile of <br /> by installing �� .. o <br /> (Area Code)Telephone <br /> will commence on or aboutfor Work <br /> approximately Sys, <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AccesslPer Apff orm\DrivewayPaved frontage <br />