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COUNTY OF SAN JOAQUIN Date:/o / $ /Oo07 <br /> DEPARTMENT OF PUBLIC WORKS Received by� <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PER.MTT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN 02f- 290-, FEE DUE fX/� <br /> �'6✓ -77>,4V_1_5 ENP.DATE DRIVEWAYS: <br /> Address STREET <br /> 1io11 5 AREA QUAD 5- <br /> e7w,e, <br /> rty,S to-Zip Ccxle TYPE <br /> 6w FORMS �j Z9 <br /> (Area Code)Telephone NOTE <br /> X09 -38Z <br /> SITE INFORMATION dA'/� �' <br /> Parcel Owner's Name <br /> /x/95 S. �/i�°ra�,�� <br /> Site Address <br /> L,4 /SGoI DRIVEWAY <br /> rty,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <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 &Ve.(;k--- side of (J/ <br /> iG�uYis tea! <br /> City,State-Zip Code approximately / feet/ � S'6�� 6� of /_.1r,e <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 /> Access�Per AppTotm\DrivewayYaved fronT ge <br />