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COUNTY OF SAN JOAQUIN Date: (.& / P /o;7 <br /> DEPARTMENT OF PUBLIC WORKS Received by_ <br /> DRIVEWAY AND PAVED FRONTAGES CR# 2 <br /> PERMIT APPLICATION <br /> "CANT <br /> Fg(CA,2, <br /> C D d1 til OFFICE USE ONLY <br /> Name <br /> JOB <br /> 11005 ISSUE DATE <br /> ff) r-- D�t�� EXP.DATE 1Z2FEE DUE =wddre s DRIVEWAYS: <br /> � STREET G�E`�'Ji+GtQe-Zi Ce , ' ' `'c'� QUADTYPE <br /> e)Telephone FORMS ww "I7 <br /> NOTE <br /> SITE INFORMATION AL <br /> Parcel Ow er's Name <br /> Site Address <br /> _YVLZ,'n�P C�1 C� 9 23 j DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY <br /> AGRICULTURE WIDTHS <br /> (Area Code)Telephone COM24ERCIAL @ FRONTAGE <br /> INDUSTRIAL @ R/VV <br /> RESIDENCE <br /> CONTRACTOR <br /> Name LENGTH: <br /> PAVED FRONTAGE <br /> Ft. X WIDTH: <br /> Ft. <br /> Address The undersignedhereby applies for <br /> Permission to encroach on County Highway <br /> Right-of-Way on the <br /> City,State-Zi Code side of <br /> P a pproximately feet/mile of <br /> (Area Code)Telephone by installing <br />-1 commence on or about <br /> for approximately days. Work <br />'KETCH(Separate sheet may be submitted) <br /> this project be self-installed? NO <br /> —YES Contractor's License <br /> sT-AppTarm\DrivewayPaved frontage <br />