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COUNTY OF SAN JOAQUIN Date:?/ �3 10-7 <br /> DEPARTMENT OF PUBLIC WORKS Received S ,7 <br /> CR# 6 3ZC1()`] <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> N e f APN O9/ - FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> A ess STREET rckerd�/t j2d <br /> QUAD aC <br /> City,State Zip Code TYPE <br /> C-0 q5 2 (- FORMS <br /> edCo`�C:�(`ep2-r C� OTE <br /> z <br /> SITS INFORMATIONvl� S �o <br /> Parcel Ownefs Namy � <br /> (�1 moi-U-t&%(LC& c- i(`- <br /> Site Addre 7-'; <br /> DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> �Ntty,��Stadip Code AGRICULTURE @FRONTAGE <br /> c COMMERCIAL <br /> (Area Code)Telephone R/W <br /> INDUSTRIAL @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 Wksl- side of AkcAep-6-A <br /> approximately O,3o feet/ le /t�pr,_of w t Z6 <br /> City,State-Zip Code -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\Form\Drive%vayPaved frontage <br />