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COUNTY OF SAN JOAQUIN Date: 5'/ '? / 0 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 6 :3 zz= <br /> APPLICANT <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> JOBJOB# 11005 ISSUE DAY,1 <br /> N 17 t - FEE DUE <br /> A A N <br /> P <br /> XP <br /> p <br /> EXP. <br /> (�o r VLIa E DATE <br /> STREET <br /> oo <br /> 0 M <br /> Address FF DRIVEWAYS: <br /> TREET <br /> T <br /> QUAD <br /> C, e Zip Code TYPE <br /> (Area Code)Telephone NOT <br /> 9`2 0 - ei 7 L NOTE_ <br /> SITE INFORMATION <br /> Pwner's Name <br /> G1 (�r vr i,"C' & <br /> Site�ddr <br /> DRIVEWAY <br /> City,State Z' Cc TYPE <br /> AGRICULTURE WIDTHS <br /> (2'Pro%(,�- C �i�f QUANTITY <br /> (Area Code)Telephone COMMERCIAL @FRONTAGE <br /> F INDUSTRIAL @ R/W <br /> 'i (G, ? -7 RESIDENCE <br /> CONTRACTOR LENGTH: F PAVED FRONTAGE <br /> Name t. X WIDTH: Ft. <br /> CONTRACTOR <br /> Name OR <br /> DRIVEWAY <br /> QUANT <br /> TY7 ITY::@FR(=�� <br /> P <br /> U <br /> EA Q: <br /> CO <br /> Ft. <br /> PAVED�_FRN_T�AGE :� <br /> 0 <br /> X WIDTH. I <br /> EG:TH-.7 <br /> Address The undersigned hereby applies for Permission to encroach on County Highway <br /> State <br /> Z Right-of-Way on the. :Z�Fs —side of <br /> City,State-Zip Code approximately /$,0 4(j��/mile of—,// A CX, <br /> C dc)Tl by installing <br /> E(AreaCode)Telephone <br /> Will commence on or about <br /> for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Hill this project be self-installed? —No YES Contractor's License <br /> LocessTer AppTorm0rivewayRaved frontage <br />