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COUNTY OF SAN JOAQUIN Date: G /If 0� <br /> DEPARTN ENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN429/ - /90 -LIT- FEE DUE JW <br /> EXP.DATE DRIVEWAYS: <br /> Z].d s ��� STREET_9LldCW AJ <br /> fesAREA L/NAC QUAD AE <br /> City State-Zip Code 577 TYPE P4-1�16't7 �� FORMS s,/t✓, � <br /> (Area Code)Telephone NOTE <br /> SIT ORMADON �+/its n �?, /?�� ; 2�� V e"7" . y� <br /> 7 C>" <br /> Parcel Owner's Name r I <br /> Sife AddrT., DRIVEWAY <br /> City,State-Zip Cade TYPE QUANTITY WIDTHS <br /> ty 44 ,g 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 hereby applies for percussion to encroach on County Highway <br /> Right-of-Way on the Wil/ side of 2,y <br /> City,State-Zip Code approximately Saimile sa��, of �r-n"C621-4- 12-:.ty , <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 ApplFormOrivewayPaved frmtage <br />