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COUNTY OF SAN JOAQUIN Date: 6� / /7 /0 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by � <br /> �32Gj32 <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APNOD7 -300 33 FEE DUE <br /> Ra h�E—k T :5E1 7^ EXP.DATE DRIVEWAYS: <br /> Address STREET— <br /> QUAD NE <br /> City,State-Zip Code TYPE Zl� <br /> G�MAJ 0 e� g�t �2 o FORMS ss qui ) <br /> (Area Code)Telephone NOTE ! <br /> SITE INFORMATION <br /> Parcel Owners Name / <br /> r Z`EE <br /> Site Address <br /> `7 ./�� DRIVEWAY <br /> C'ty,State-Zip Cod TYPE QUANTITY WIDTHS <br /> C? AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE b� <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_ side of <br /> City,State-Zip Code approximately. e mile _f,I wl'-s of <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 /> Access\Per App\FormlDrivewayPaved frontage <br />