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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE / ! <br /> r <br /> N APN W- 1620- FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> ss _� STREET SAW E e <br /> LplS / QUAD <br /> State- e TYPE <br /> FORMS <br /> e Co )Tel ho e, NOTE <br /> SITE INFORMATION A / <br /> .,--- az l Owner's e <br /> ,�e <br /> to Address <br /> 71/4 <br /> DRIVEWAY <br /> City,State-Zip Code v TYPE QUANTITY WIDTHS <br /> - � 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 /> r <br /> The undersigned hereby applies for permission to croach on County Highway <br /> L ddre 471 Right-of-Way on the f� side of " /' <br /> C' e-Zip C e G j approximately 3i. feet hilpOff 1 �j7 <br /> by installing <br /> (Area )Telephone <br /> 22 <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 />