Laserfiche WebLink
COUNTY OF SAN JOAQUIN Date: / /,v /0 <br /> DEPARTMENT OF PUBLIC WORKS Received by � <br /> CR# 0 F��a <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> Ll G1l®1J JOB# 11005 ISSUE DATE I <br /> �— N j APN/97 - O 20 - /S _ FEE DUE <br /> 08/ty EXP.DATE DRIVEWAYS: <br /> dress STREET '4 D, <br /> I-IV &IV AREA QUAD A16 <br /> City,State-Zip Code TYPE <br /> -209 0.3 ®,91-/ L FORMS Sj <✓u/, -/7 <br /> (Area Code)Telephone NOTE <br /> SI�1FORMATION pl pe_ /2'f¢ or Sale �,eGo m AtC41 Vt.aC <br /> S -,:57-414�e /,'1' /-2-- / <br /> Parcelis Name lJN /la {GAS S G <br /> Z3Soo C <br /> OwW �P�o;�aGsS <br /> Sj' i Addres DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 0 S /r/ 2,9 AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE �L <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to a croach on County Highway <br /> Right-of--Way on theside of <br /> City,State-Zip Code approximately D. 9'5 feetmil of , _cUi1e- <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 AppTormOrivewayPaved frontage <br />