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COUNTY OF SAN JOAQUIN Date: /d / <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> / APPLICANT OFFICE USE ONLY <br /> R/(/G/c JOB#11005 ISSUE DAVE <br /> 41ame APNGYJ✓ - 2l0�_ ¢2 FEE DUE-i 2?�7- <br /> 7o`� % c Ti C=/e- EXP.DATE DRIVEWAYS: <br /> Address STREET <br /> 0 QUAD n/E <br /> y City,State-Zip Code TYPE a,) <br /> 2�c7 3 3 _ 2-6 0 U FORMS <br /> (Area Code)Telephone NOTE �- <br /> SITE INFORMATION <br /> Parcel Owner's Name <br /> Site Address <br /> DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE X oz, <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encZoa h on County Highway <br /> Right-of-Way on the Alb eAh side of ��[[// <br /> City,State-Zip Code approximately U. 7 0 feet/r6W Ee s f of r'',�- RW <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 Apff ormOrivewayPaved frontage <br />