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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR#,f�3 Z c <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN Jif- J - FEE DUE <br /> EXP.TATE DRIVEWAYS: <br /> ` Address STREET <br /> l-:/—l e c crti/y`vvf QUAD (fl, <br /> City,State-Zip Code TYPE <br /> FORMS x3 L•/w '/7 <br /> (Area Code)Telephone NOTE �- <br /> 2-DC1 `2 2S S <br /> TE INF <br /> LOGS <br /> Parcel 6wl e� <br /> ( Site Addre <br /> n DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City State-Zip Code AGRICULTURE @ FRONTAGE <br /> 1 �� O O zo C I COMMERCIAL <br /> (Area Code)Telephone 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 411w 4e, side of tl z <br /> City,State-Zip Code approximately SGi� �/mile La G 5' of h oYh 1z:k prof <br /> by installing 3p�A I <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 />