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COUNTY OF SAN JOAQUIN Date:� <br /> DEPARTIENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES cR# b 3 2-.'— <br /> PERMIT APPLICATION <br /> n,� APPLICANT OFFICE USE ONLY <br /> 0441_� 1 h/ JOB# 11005 ISSUE DATE <br /> Name APN ZS5 - 0'/'d _ Z J FEE DUE o <br /> S " EXP.DATE DRIVEWAYS: <br /> Address STREET_,_4'0fs f,-- X`,/ : <br /> !2YI6!p'y __ 770!EQUAD_:54_ _ <br /> City State-Zip Code TYPE . <br /> 7 Def � FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION 1 z <br /> Parcel Owners Name <br /> Site Address <br /> 5eg DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 1-52-17e7OAR COMMERCIAL <br /> @ FRONTAGE <br /> (Area Code)Telephone <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> 1._j liY'ul��1 . /�C LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> �Y c_X c1S30 4 Right-of-Way on the VVeS& side of gcf, <br /> City State-Zip Code approximately U,.�v feet/Imiles �(//n of Lkrn��/i S /2rP <br /> Z2 9 ^ ?5z "/e8�` ,by�nstau�ng h W <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\Per Apff ormOrivewayEaved frontage <br />