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COUNTY OF SAN JOAQUIN Date: & / <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# CJ <br /> PERMIT APPLICATION <br /> APPA �; � OFFICE USE ONLY <br /> IV I 5 t- �'UI JOB# 11005 ISSUEDA�TT� <br /> _ Name APN�-6440 - S� FEE DUF,y'� <br /> si / T EXP.DATE DRIVEWAYS: <br /> ClSTREET e4 —fib- <br /> /TN 1 -C C1 s AREA �'�7''oaA=IJ QUAD <br /> City,State-Zi� Code TYPE moi.•/-�a FORMS s wu1 <br /> 1-7a <br /> (Area Code)Telephone NOTE —� <br /> FAV <br /> SITE INFORMATION eg 1 /S" „� <br /> Y S�� �G ,/� <br /> Parcel Ovaicr's Name <br /> /LSite s <br /> ---- C. DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 3 ._ ze,�'< AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE �-- <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Addr s The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the AloY* side of Ce.foe'n.4e1 2c1, <br /> City,State-Zip Code approximately D.R6 feet a �- of� "aft n oST �a0. <br /> 'by installing �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 /> AccwslPer Apff orm\DrivewayPaved frontage <br />