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COUNTY OF SAN JOAQUIN Date:/�� /67 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> cR# O3z437 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> S�pW�r Z ,. , '� JOB# 11005 ISSUE DATE l I <br /> EXAPN 1�-�- FEE DUE <br /> S Name DRIVEWAYS: <br /> �.�.�,��' ��� P.DATE <br /> Address STREET <br /> n- , `tet��2 l 1 AREA a1b f n QUA <br /> s <br /> City,State-Zip Code TYPE Wi V2wGCM 3p--- <br /> ,2e-7 SIS' 526.49 FORMS VVV, I <br /> (Area Code)Telephone NOTE <br /> SU INFORMATION NO 10//Z-") <br /> ,r -e r <br /> Parcel 0 r's Name <br /> Ste Address DRIVEWAY <br /> f I S`��j TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> �O �6✓C �.ZS•�' COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ R/W— <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> 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 theCd s side of M n A/.r —2cL. <br /> approximately feet/mile of <br /> City,State-Zip Code 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? 2 t0 YES Contractor's License <br /> AccessTer AppTorm\DrivewayPaved frontage <br />