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COUNTY OF SAN JOAQUIN Date: S /Zq l-7 <br /> DEPARTMENT OF PUBLIC WORKS Received by P,T,' <br /> CR# 6-330 -35_ <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERNUT APPLICATION <br /> APPLICANT Q OFFICE USE ONLY <br /> G,&j a /�f E l c��``' JOB# 11005 ISSUE DATE ! / <br /> Name > APN 021- 056 - 1-7 FEE DUE <br /> C� " EXP.DATE DRIVEWAYS: <br /> � Address _ STREET Ghon,4 2d. <br /> c'T J AREA Lodi' QUAD illi <br /> City,State-Zip Code TYPE dam, <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> y --,i 7 <br /> s�nvF RMATIo�I /J//29 <br /> Parc4 Owner's Name <br /> Site Address <br /> ,4�>"y«i�-�D �' fl ' DRIVEWAY <br /> -� City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ RAV <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 &6'o Ah side of <br /> City,State-Zip Code approximately ee /mile e of_ i//VnSo N <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 /> AccessTer App\FormOrivewayPaved frontage <br />