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COUNTY OF SAN JOAQUIN Date: 7 / 7..5'/07 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APN4)L#)7 - 2gb- 08 FEE DUE 00;�- — <br /> A -1 EXP.DATE DRIVEWAYS: <br /> AddAss STREET M90, A—D <br /> AREA_ ArAftO92 QUA_ NE <br /> City,State-Zip Code TYPED✓ <br /> PvAv_�j`, LA QSZ Z,U FORMS , ter <br /> (Area Code)Telephone NOTE <br /> �5 1- -Ou l <br /> SITE INFORMATION le <br /> Parcel Owners Name <br /> Site Address DRIVEWAY <br /> �1 Q�— � TYPE QUANTITY WIDTHS <br /> City,State-Zip Codc AGRICULTURE @ FRONTAGE <br /> CJS 5s <br /> (Area Code)Telephone COMMERCIAL <br /> @ 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 U80 W"s i--side of <br /> City,State-Zip Code approximately 0130 feet/� Sam _Of 1k ha"I(- <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 /> Aocess\Per App\Form0riveway2aved frontage <br />