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COUNTY OF SAN JOAQUIN Date: 5 / J /—U <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# G 32�C7 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> —\arweg FLMEr.4 Lauekke- JOB# 11005 ISSUE DATE <br /> Name APN SSS - %00 - 26, FEE DUE <br /> c✓12_l__Cetw+"ts� lt I.i►. EXP.DATE DRIVEWAYS: <br /> A dress STREET KOSF�.t" 9�* <br /> Salt w _ r.A 0%53l,6 AREA i�au. QUAD S W <br /> City,State-Zip Code TYPE 17 W <br /> 2Dq sNS-O►{b5 FORMS GG 1WW I —1-7 <br /> (Area Code)Telephone NOTE <br /> ` SITE INFORMATION <br /> Parcel Owner's Owner's Name <br /> Site Address <br /> , CW 95 3DL1 DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 2oQ- Sy S--oAo 5 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 /> Address The undersigned hereb sion to encroach on Countv Flisthwax <br /> Right-of-Way on the side of Ag g <br /> ` City,State-Zip Code approximately D,SS feet/ 1 of o tr <br /> by installing <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 />