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COUNTY OF SAN JOAQUIN Date: is l/o /o 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by A7-, <br /> CR# a 33310 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> JOB# 11005 ISSUE DA / I <br /> r� ( APN 09/ - Z90 - /,�_ FEE DUF�/i <br /> EXP.DATE DRIVEWAYS: <br /> Addrlm /,. STREET�II/r// P� <br /> AREA <br /> _ Lind�q QUAD N� <br /> Stat �z1� TYPE <br /> FORMS <br /> (Are Code)Telephone NOTE <br /> SITE INFORMATIC <br /> Parcel Own s N e <br /> it Address DRIVEWAY <br /> Lty,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <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 --aide of I& <br /> City,State-Zip Code approximately ! feet/mile_ v-AA , of 2, 26 <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 AppTormOnvewayPaved frontage <br />