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COUNTY OF SAN JOAQUIN Date:_/_/a / e 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by. <br /> CR# U �`�1 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> CAPP <br /> C1� OFFICE USE ONLY <br /> JOB#11005 <br /> ISSUE DATE <br /> Q f Name APN Zo-7 - io - 2 Z FEE DUE <br /> l� I W�'ST�fLadK CAA E EXP.DATE D=WA S: <br /> essC�J 3 2-6 STREETS (M�(1jjp/f QUAD SE <br /> AREA <br /> S Gt/e # <br /> -Log S's (e i K � s TYPE <br /> �j FORMS <br /> (Area Code)Telephone NOTE <br /> P_ �PST6� Qc_lh <br /> Parcel Owner's Name <br /> 14ora2- <br /> Site Address <br /> ,S' ,r��„3 ,,-A- c1,, S DRIVEWAY <br /> ity' tate-Zipode TYPE QUANTITY WIDTHS <br /> 46 <br /> �C. 3 (( 9 AGRICULTURE @ FRONTAGE <br /> C (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE >G <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 13 6,41 feet Amile of �� __ <br /> by installing 5008. <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 AppTormOrivewayEaved frontage <br />