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COUNTY OF SAN JOAQUIN Date:G /,/ 07 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# d- 2 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLI OFFICE USE ONLY <br /> JOB# 11005 ISSUE DAT / ! <br /> Nam APN�-�Z- �� FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> �I A ess STREET <br /> 6 C) e UI e-DE A`'! AREAQUAD_ <br /> City,State-Zip Code TYPE 4-J <br /> _ S'TDC t,,4-W r: ^ q S Z©S FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> f ZRhTcel s N e /_ /✓ <br /> ;11 X <br /> � ite Address <br /> { <br /> y 2 o f `7 C1U C-0C qTC— f�-) DRIVEWAY QUANTITY WIDTHS <br /> City,State-Zip C de <br /> C,2�� AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W_ <br /> q-P��� q l'Z y RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to en oach on Court Highway <br /> Right-of-Way on the side of <br /> City,State-Zip Code approximately e mile ofa�b, a(at 4,11. <br /> f 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 AppTormOrivewayPaved frontage <br />