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COUNTY OF SAN JOAQUIN Date: ( �' 161 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES cR# 03As (,Q <br /> PERMIT APPLICATION <br /> APP11CANT OFFICE USE ONLY <br /> Q 0 pPJ2-S JOB# 11005 ISSUE DATE <br /> N�'e/G� / APN�- U - FEE DUE -- <br /> .� �tox-16 GI�T 'G{' _ EXP.DATE DR VEWAYS: <br /> Ad s STREET <br /> (� %�� <br /> QUAD — <br /> rr��,n JStt ae-Zi Co/demTYPE Gv:2, <br /> " T z 1--- FORMS 'vim lk)� i <br /> (Area Code)Telephone NOTE <br /> TE a X47�i}OINFO ©/,7P-0s,MATION / 7 a <br /> Parcel Owner's Name <br /> C�r Fe/u bite cuss �?_C� DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/_ <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 the , .,s M side of _s,�i��n 7,�X S,1, <br /> City,State-Zip Code approximately �eetmile Esc _of %t 3 <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 App\FormOrivewayPaved frontage <br />