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COUNTY OF SAN JOAQUIN Dater/ Z /2oo <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 2 -332 � i <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APNDoS - �5^0 - b FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET GSao N. MAG A(xg � <br /> t "City,State-Zi Codef: TYPE <br /> 17� L 19 ,5 & 3 Z FORMS - <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION yes �✓,� �Z /(� <br /> `r_( Parcel Owner's Name / <br /> Site Address DRIVEWAY <br /> 2 coo <br /> A, w� �t(vz- C <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> LA c��Z Z,�, AGRICULTURE @ FRONTAGE <br /> COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ R/W <br /> L 3 Z Z RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> V/ cue_ c LENGTH: Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> (� 11S10,32- Right-of-Way on the E side of M�nue/ s+'/J3. l'-/, <br /> Cr State-Zip Code approximately Soo ee /mile /t/o rAA of <br /> 2-c>� 7� �'I t-3D ,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 AgpTormOrivewayPaved frontage <br />