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SAN Date: /2� ®7 <br /> COUNTY OF SAN JOAQUIN <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 /> ,¢� <br /> .�, <br /> Name APN)d 5� - 296 _ // FEE DUE '"/�t.� <br /> 6� L—r won3z EXP.DATE DRIVEWAYS: <br /> p� 1 Address STREET 046"Yr-LE" C Lr- <br /> Jl G� ) /--b L LIIALO Of AREA Lf&AZX0J QUAD A/6 <br /> City,State-Zip Code TYPE 77vJ <br /> VALLEY S�'t^/l•1(�e�L`/� = 9�2_��-y— FORMS si �.s�� X-/7 <br /> (Area Code)T ephone NOTE Z— <br /> S <br /> SITE INFORMATION `/es olp e <br /> / Parcel Owner's dame g V <br /> Site Address <br /> DRIVEWAY <br /> LF r City,State-Zip Code TYPE QUANTITY WIDTHS <br /> led52� AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL e @ R/W <br /> RESIDENCE !� <br /> d � <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 Abr7% side of t herrn 41eh CU <br /> City,State-Zip Code approximately 460e!D/mile Wes of <br /> by instalMig <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 AppTornlDrivewayPaved frontage <br />