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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 3 s' <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APF CANT. z OFFICE USE ONLY <br /> �o �C �— JOB# 11005 ISSUE DATE l I <br /> Name APNi�/ -060-�� FEE DUE 7 .`? <br /> EXP.DATE DRIVEWAYS: <br /> Address �y ., �� STREET <br /> ' s- 142P AREA nJ QUAD 6L:-- <br /> city,Styte-Zip Code TYPE L� <br /> FORMS--.--- <br /> (Area <br /> ORMS --r(Area Code)Telephone NOTE ` <br /> SITE INFORMATION „es <br /> Parcel Owner's Name f / <br /> Site Address�� DRIVEWAY <br /> City,Stat -Zip Code TYPE QUANTITY WIDTHS <br /> -le S- 2/S AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ RAV <br /> RESIDENCE k Z <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 EIS 7 side of—47z-fe Y eod l <br /> City,State-Zip Code approximately 6z ee /mile 5,&J of 8ti/.X6d ?o% <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 AppTormlDrivewayPaved frontage <br />