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COUNTY OF SAN JOAQUIN Dater/ <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> ��Z c�,i <br /> DRIVEWAY AND PAVED FRONTAGES cR# <br /> Ll <br /> PERMIT APPLICATION <br /> t(� PLIC OFFICE USE ONLY <br /> f/ � t^ eU�'�Cs� JOB# 11005 ISSUE DATE <br /> Name APN 2 2 - Ole - �� FEE DUE_ <br /> EXP.DATE DRIVEWAYS: <br /> +n n Address 3/ STREETPUy'SE <br /> AREA QUAD 56,6_ <br /> C, ,St_ -Z' Cod 2, zy 1 TYPE -20--)�� FORMS <br /> Area <br /> —Co-&)Telephone NOTE <br /> SITE INFORMATION r <br /> All = : <br /> Parcel er's Name <br /> k.-- <br /> Sitdres � 1--f�C <br /> �� Z1� DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> �� (xn AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> 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 MOY 4,h side of 4&t.9 <br /> $ (`e 7 �, <br /> City,State-Zip Code approximately O,4: feet a`mi`Te G s 14 of Ur <br /> d <br /> by installing <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 /> AccessTer App\FormlDnvewayPaved frontage <br />