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COUNTY OF SAN JOAQUIN Date: 5 / 9 07 <br /> DEPARTMENT OF PUBLIC WORKS Received by `v' <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE. / / <br /> Name } APN 46Q�r - 160 -_&L FEE DUE _ <br /> t►f f laic. N5'f�6 t�'Lu EXP.DATE DRIVEWAYS: <br /> Addr s �. STREET_ 'AD," �'. • <br /> G( 5 2� AREA r-cQUAD <br /> City,State-Z' <br /> Zi Code TYPE <br /> 7 c(3�� FORMS <br /> 2 C3 )Telephone NOTE <br /> SITE INFORMATION <br /> er's Nje <br /> Cl-iC_L l "ni�S�. \Yc�i 4 V <br /> /3 Sits Address n �� C �►.�� DRIVEWAY <br /> City,Stat Z' Code _ r TYPE QUANTITY WIDTHS <br /> CTS AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> r RESIDENCE J/ <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission toe croach on County Highway <br /> Right-of-Way on the Gt..s side of AZ.*.- <br /> City, <br /> eCity,State-Zip Code approximately feet/mile ,'a;' of <br /> by installing 2�2 <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 /> Access'Ter AppTormOrivewayPaved frontage <br />