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COUNTY OF SAN JOAQUIN Date:10 <br /> DEPARTMENT OF PUBLIC WORKS Received by166,11 <br /> d�,"2__ <br /> CR# 1) <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT o� OFFICE USE ONLY <br /> �ct_Sf &,,el411E JOB# 11005 ISSUE DATE / 1 <br /> �f Name APN /7( - 2 00 - t FEE DUE <br /> zewi-witt2c) EXP.DATE DRIVEWAYS: <br /> ess STREET SA <br /> QUAD <br /> City,State-Zip Code TYPE P1 <br /> S cram{ 9 s"a FORMS � ,vw,, <br /> ( ea Code)Telephone NOTE �- <br /> 09 v -O <br /> SITE INFORMATION <br /> Parcel Owner's Name <br /> 9411V-5 :R&U62,41i 0 <br /> te <br /> yo 'e,Si/-�*ss $f' DRIVEWAY <br /> City,State-Zip CodeTYPE QUANTITY WIDTHS <br /> S�C,t/r5, - q S c�0�� AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> _ F CONTRACTORPAVED FRONTAGE <br /> f <br /> 0,J S fes'✓C 7�i// G11 LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> �� d,� Crrv.��2 Jc'Ti Gti <br /> Addressl The undersigned hereby ap lies for permission to encroach on County Highway <br /> k)�2�/ OjI -VJ Right-of-Way on the Jo&4* side of ?l1gA <br /> City,State-Zi Code approximately Soo ee /mile Fc��_of �� L3 " <br /> 2 ,by installing <br /> (Area Code)Telephone <br /> C/ y 9s y <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 3-9;2 H . <br /> AccesslPer ApfformlDrivewayPaved frontage <br />