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COUNTY OF SAN JOAQUIN Date: ID <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR_# o�3 <br /> DRIVEWAY AND PAVED MONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB 4 11005 ISSUE DATE <br /> Name APN 007- 290 657 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> 2 —I_ -Y — <br /> Address STREET <br /> /-z- /Z----/C_ -1-73 AREA QUAD <br /> qity,State-Zip Co TYPE <br /> FORMS 77 <br /> Code)Telephone NOTE <br /> SITE INFORMAITbN <br /> Parcel Ovvi4ees Name <br /> Site <Address_.,_ _ <br /> G DRIVEWAY�,/i-(--�- �_ <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 41A_ _, L�7 4`_�7 6: AGRICULTURE @FRONTAGE <br /> , <br /> (Area Code)TelephoneCOMMERCIAL <br /> - INDUSTRIAL @ RAV <br /> Z RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on Coun Highway <br /> Right-of-Way on the We,5�- _side of gave I — <br /> City,State-Zip Code approximately 0 wmile SduAh of 46 Z4 <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 /> koctssTer AppTorm�DrivewayRaved frontage <br />