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COUNTY OF SAN JOAQUIN Date:O( /3 L / <br /> DEPARTMENT OF PUBLIC WORKS Received byy��--FtiJZ____� <br /> �6 <br /> DRIVEWAY AND PAVED FRONTAGES CR#f-3--6 <br /> PERMIT APPLICATION <br /> APPLICr / OFFICE USE ONLY <br /> ((�r,.�s JOB# 11005 ISSUE DATE <br /> Name APN Z.4C-) - (KD FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> , Address (/ STREET <br /> G � �, 3AREA <br /> QUAD SW * -- <br /> Ciq�,State-Zip Code TYPE �J�77m/rti�/ Ucua 5 C3) <br /> D L y 3 FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION Ak 0,119e s <br /> -757, &-,-',,,,2L �'/-,L,fes- / <br /> Parcel Owners 1,are <br /> S'' Address <br /> DRIVEWAY <br /> QUANTITY WIDTHS <br /> 7 � City,State-Zip Code TYPE Q <br /> 'l g S _ S i 2 y AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ RIW_ <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for percussion to encroach on County Highway <br /> Right-of-Way o side of /,e /loa,/ <br /> City,State-Zip Code approximately feet/mile of_ <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 /> Aocess\Per AppTormNDrivewayPaved frontage <br />