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COUNTY OF SAN JOAQUIN Date: //0 / <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# ©-7S Z`_c>Z.. <br /> PERMIT APPLICATIONAPPLICANT <br /> OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> - /2 Name/! APNp/3 - 170 - 15 <br /> /7 l EXP.DATE FEE DUE <br /> ess STREET DRIVEWAYS: <br /> S7 : <br /> Ity,State- i 'ode Q�r+� <br /> TYPE_ ._i%1'� * <br /> FORK'S__ ` G Jd , 4"/f <br /> de)Tel h e NOTE <br /> G 2 <br /> S INFOON �� _„ •� <br /> Parcel e>'s Name <br /> D Site.A,ddres <br /> DRIVEWAY <br /> te- TYPE QUANTITY <br /> AGRICULTURE WIDTHS <br /> (Area Code)Telephone COMMERCIAL @ FRONTAGE <br /> INDUSTRIAL @R/7 RlVV <br /> RESIDENCE <br /> /J CONT (--fRy4q�Y � PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Addre,sq The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the iy side of � 6,Q_ <br /> tate-Zi C e approximately et mile L��of <br /> — S?• ,by Inst g Ir •.� <br /> (Area Code Telephone <br /> will commence on or about Work <br /> for approximately days <br /> SKETCH(Separate sheet may besubmitted) <br /> Will this project be self-installed? NO <br /> _ YES Contractor's License <br /> AccessTer AppTormonvewayPaved frontage <br />