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COUNTY OF SAN JOAQUIN Date: S /30 / G 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by P,r, <br /> cR# 63Z3o8 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN 063- 230- 43 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET <br /> City,State-Zip Code TYPE W <br /> i fA, 13s-24o FORMS I��-, W W -1 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION �/ S �1��- ��1 <br /> 1 <br /> 9 <br /> Parcel Owner's Name / <br /> hand,// z1 132,1;e AII� //ri <br /> Site Address DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> Lodi CA, 9 57Z40 COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ R/W <br /> C Zoe) 4Pj3 - 34/4 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 �S,4 side of f14XAAr.1 /25' <br /> City,State-Zip Code approximately ee /mile- �ar _of r Ied <br /> by inst byl <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 /> AccewTer App\FormoHvewayEaved frontage <br />