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COUNTY OF SAN JOAQUIN Date: 1 / J <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APfLI / OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> 7 d e APN O�F--- //0 - 31 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET Seo�/� c� <br /> CA 95 a 4 D la� QUAD /U iU <br /> City State-Zip Code TYPE_ �tL' <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> SITE O O AO <br /> f d' <br /> P-arcel Owns Nam <br /> zC <br /> Site Address <br /> 1-0!�.i C A G 5 a 4(") DRIVEWAY <br /> City,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 _sideof <br /> approximately �/mile L.Lr ,—' of <br /> City,State-Zip Code ,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 /> AcccssTer AppTorrn DrivewayPaved frontage <br />