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COUNTY OF SAN JOAQUIN Date--w �� I <br /> 3EPARTMENT OF PUBLIC WORKS Received <br /> by <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE 1 / <br /> Npme APN/7;7-t2z_-14_ FEE DUE k,975- <br /> EXP. <br /> ,9?S.DATE DRIVEWAYS: <br /> AddressSTREET 1.��°b AINIV QUAD 15f <br /> City,Sthte-Zip .J <br /> 2 TYPE z <br /> Area Co )Telephone NOTE �7 <br /> 7 � <br /> SITE INFORMATION <br /> e <br /> Parcel is Name N <br /> —IL�, 9C- `q-v e Addresq ` DRIVEWAY <br /> C-3-51 PP yy a Zi �.�L>C� TYPE QUANITTY. WIDTHS <br /> T- City,Stat -ZiprCode� AGRICULTURE _ @ FRONTAGE <br /> _r n J� 3 <br /> ' (Area Code)Telephone( COMMERCIAL <br /> (Am <br /> @ R/W <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 CountyHighway <br /> Right-of-Way on the E side of �IIePORT vJ A <br /> City,State-Zip Code approximately :r0 f &OWN of 4,�Ak ! <br /> 104#?P RD. ,by inst 27aJ <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days- <br /> SKETCH(Separate sheet may be submitted) <br /> f7t7' OSO -�� <br /> Will this project be self-installed? =%NO YES Contractor's License <br /> AecessTer AppTormlDrivewayPaved frontage <br />