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COUNTY OF SAN JOAQUIN Dater/ ►(� / <br /> DEPARTMENT OF PUBLIC WORKS Received by�� <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLIC OFFICE USE ONLY <br /> k�1C& JOB# 11005 ISSUE DATE <br /> e APN i) - 0 7 0 -�L FEE DUE <br /> Cr` � \ EXP.DATE DRIVEWAYS: <br /> ss STREET A L pi K r- <br /> Lz, Lk—) AREA-1. <br /> QUAD i <br /> Ci State <br /> ZIT,��q_ <br /> TYPE <br /> FORMS l —I -7 <br /> (Area Code)Telephone NOTE 1 <br /> �? <br /> SITE INFO ) FE-5 <br /> Poceb er',s Name <br /> Site A dies <br /> � S � _Ci) <br /> DRIVEWAY <br /> City,State-Zip C de TSE QUANTITY WIDTHS <br /> G• " G— 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 en roach on County Highway <br /> Right-of-Way on the &UA side of <br /> City,State-Zip Code approximately ! feet/ le Al to r of 2/ne pe <br /> by installing fid�Jn/GLU_ �4P�CO G�C�L <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 AppTormOrivewayPaved frontage <br />