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COUNTY OF SAN JOAQUIN Date: / / 07 <br /> DEPARTMENT OF PUBLIC WORKS Received by� <br /> CR# ef-' _3 a 9� - <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APP CANT OFFICE USE ONLY <br /> JOB# 11005 59t ISSUE DATE <br /> Name / N 07 - f/ FEE DUE <br /> 7 /i[ C .��t'J C� C XP.DATE , , DRIVEWAYS: <br /> Address STREET /!-'yt'j� <br /> QUAD__LL VV _ ' <br /> City—State-Zip Code TYPE ` <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> SITEO TION �//z) <br /> Parcel efs Name <br /> 3 ci0 9 ��3 n/�f� e <br /> C_ Si Address �' u9 DRIVEWAY <br /> –�cTYPE QUANTITY WIDTHS <br /> Ci ,State-Z p Codee AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> r i RESIDENCE <br /> � (�2$'11 l� <br /> CONTRACTOR PAVEDFRONTAGE <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 W-es side ofi �_ <br /> City,State-Zip Code approximately 6450 et mile �_of JallamL , <br /> by installing ID <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 AppTormDrivewayPaved frontage <br />