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COUNTY OF SAN JOAQUIN Date: -3 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> �PcV\S JOB# 11 OS ISSUE DATE � <br /> APN Z4� FEE DUE s0/k c- <br /> J �� X �4 O EXP.DATE <br /> / \I Ad�Tess DRIVEWAYS: <br /> e 1 \ , � STREET_ <br /> Tom` - QUAD S <br /> City,State- ip Code TYPE / s <br /> 5- �v FORMS__ le <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> LC��\ A \ S <br /> Parcel Owner's Name <br /> Lc <br /> / Site Address DRIVEWAY <br /> City State-Z' Code _ TYPE QUANTITY WIDTHS <br /> C \� �j J J-)_ AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUS TRIAL @ R/VP <br /> RESIDENCE <br /> CON C <br /> �L N ;\ n � ATR i i PAVED FRONTAGE <br /> t C� LENGTH: Ft. X WIDTH: Ft. <br /> G Name <br /> Addr s � The undersigned herebya plies for permission to ar�croach on County Hi way <br /> �Y�/�ti� •�A -�� Right-of-Way on the side of <br /> City,State-Zip Code approximately eet mile Lv'PS 4* of <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 /> Acom\Per AppTormOrivewayPaved frontage <br />