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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> L� AAN�TT OFFICE USE ONLY <br /> DSD AG , Inc��D0nEd S . Wortle JOB# 11005 ISSUE DATE / 1 <br /> Name APN 025 - 150 - SPO FEE DUEp . 0. Box 311 EXP.DATE DRIVEWAYS: <br /> ddr ss STREET l2i1 .r2 <br /> Lodi , CA 9Address <br /> 2 41 "a P/ QUAD <br /> Ci a -Zip Code TYPE <br /> 209 36A-�.Sllf FORMS_55 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> Parcel Owner's Name <br /> l ' '2 CIDW, Site Address t'` �� � �s <br /> DRIVEWAY � <br /> S TYPE QUANTITY WIDTHS <br /> Lodi , Carty '9t�te2 Ap Code AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ RIVV <br /> 209 334-4700 RESIDENCE _ <br /> CONTRACTOR PAVEDFRONTAGE <br /> D 2 i LENGTH: Ft. X WIDTH: Ft. <br /> P .O. Box 3Aame <br /> The undersigned hereby applies for permission to�roach on Coun ghway <br /> Lodi , CA AlTfs Right-of-Way on the � side ofIL ! / <br /> approximately O i fee Ie Ii,3 _of <br /> City,State-Zip Code by installing <br /> 209 369-2914 <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about i n--1 n_(17 for approximately 7 days. <br /> SKETCH(Separate sheet may be submitted) 3,Q --- ��'L V f?1ES <br /> n, <br /> Will this project be self-installed? x _NO YES Contractor's License 618 2 3 6 <br /> AccessTer App\FormlDrivewayEaved frontage <br />