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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by GW A L_ <br /> CR# Q ,Z SIT_ <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> C4l JOB# 11005 ISSUEDATEQJ /�/�Z <br /> _ Name APN 2.63 - 4-10--0-L FEE DUE&Q0.00 <br /> �v5 <br /> 's,t EXP.DATE DRIVEWAYS: 4 <br /> Address STREET kA VJ00 <br /> X NA �L z .&. On 01 337 S e QUAD . <br /> City,State-Zip Code TYPE <br /> Zo`l - 2-3 7--74 1 J FORMS <br /> (Area Code)Telephone NOTE <br /> SITEINFORMATIO,N ,, _ �GS ��� (J�'I/GSS oef was e dernMc <br /> K. � <br /> Parcel Owners 14ame b`1 <br /> 6"? tip, I u)0'a <br /> I Site Address <br /> S f O c 1L Cv v� C� 952- 1-:5- DRIVEWAY <br /> City,State-Zip Code TSE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <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 Z.U1eP2,J0,P7) jeD- <br /> City,State-Zip Code approximately �5-0 of '70 C-k- <br /> 1',),Je 2.D . by installing -PLJ <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 /> Access\Per Apff orm\DrivewayPaved frontage <br />