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COUNTY OF SAN JOAQUIN Date: b l lr l D <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# O5 z <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN�-JAL- )2- FEE DUE <br /> 05 ZOO <br /> wn I-�-a EXP.DATE DRIVEWA S: <br /> l Address STREET Y. <br /> -AKS— V QUA <br /> City,State-Zip Code TYPE ­' ` <br /> Lir FORMS�)- �-I <br /> (Area Code)Telephone NOTE <br /> - <br /> 2- <br /> SITE WFORMATION Y r <br /> 2 2.1 F� <br /> *� Parcel Owners Name <br /> 6 �Y16�1 i f ri d�L-- I <br /> 1 Site Address' DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @FRONTAGE <br /> C-.4< GlS 2 5 COMAERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ R/VV <br /> RESIDENCE <br /> 2.c,� _ �� :_x 2.3 2 <br /> CONTRACTOR PAVED FRONTAGE <br /> e-S _^ ce LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the W rr/— side of <br /> City,State-Zip Code approximately D feet/ L _of fie ' <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 /> AccessTer AppTormOriveway2aved frontage <br />