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COUNTY OF SAN JOAQUIN Date:?Received by <br /> DEPARTMENT OF PUBLIC WORKS CR# b I <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERNUT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> VQ,Y(u,Y% W lV�,kt!s3 . �R-k-e-- JOB#11005 ISSUE DATE l I <br /> Name cs 5 APN i''I -6U - Z."- FEE DUE _ <br /> 613 b o Cz*\kf-r- Dr e- 1R C EXP.DATE DRIVEWAYS: <br /> fop <br /> c� Address STREET DZE <br /> . cgxq yyu,m�D p C jQ %12,o Frl tf CA,+�'t P QUAD <br /> City State-Zip Code TYPE '7>w <br /> nq"g-f�t-{—1 l l -� FORMS � ,W W. t <br /> (Area Code)Telephone OTE T— _ <br /> SITE INFORMATION /4/0 <br /> � P - 0b0-2-2 <br /> Parcel Own r's Nam �OU/e� /90 t Lv ca�e Z c u� c2�w <br /> 1tLA Rr <br /> �renc,h C.a.�v.1F AC. 'F�s G,SZ3 I DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL JG @ R/W_ <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> T16 LENGTH: Ft. X WIDTH: I Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> approxi Way on the Y� side of j�h /- <br /> City,State-Zip Code approximately U c� eel/mile �CiS of <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 /> Ac ess\Per App\Form\DrivewayPaved frontage <br />