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COUNTY OF SAN JOAQUIN Date: 6 /-y/'�/ <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> cR# C? 3d <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> J APPLICANT OFFICE USE ONLY <br /> L._/ Z `Llb-1 JOB# 11005 ISSUE DATE <br /> _ APN/7/ - FEE DUE <br /> _ �2 I jj 3 (3 ,4 EXP.DATE DRIVEWAYS: <br /> L Address _ / STREET 711 men ti Sf <br /> QUAD SS <br /> City State-Zip Code TYPE <br /> 63 --,6F0'7 FORMS <br /> (Area Code)Telephone NOTE <br /> S ORMATION t� ClaIle <br /> -Z /PGz,, ram e�F rr' <br /> n &,.K-Le <br /> Parcel am <br /> �- �3s 1�- <br /> �]� Site Address DRIVEWAY <br /> C V, </1 `� �a TYPE QUANTITY WIDTHS <br /> City,State-Zip Code 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 permission to encroach on County Highway <br /> Right-of-Way on the side of 7 liiy�en4A S'*. <br /> City,State-Zip Code approximately 500 e /mile �zr� of /?" Sfi <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 AppTormOrivewayPaved frontage <br />