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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> M`C Enron JOB# 11005 ISSUE DATE <br /> Nam <br /> C FEE DUE <br /> 5� e EXP.� — V DRIVEWAYS: - <br /> C- (� Address STREET <br /> C� 1.5632 AREA. QUAD �r <br /> City,State-Zip Code TYPE t J <br /> -7q5 — 1030 FORMS J <br /> (Area Code)Telephone NOTE ' <br /> SITE INFORMATION NO P//100 -- <br /> ��<d Maims <br /> Parcel Owner's Name <br /> / Site Address <br /> a524b DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 3Z� _ 3,tk \ 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 SOyX4 side of�ke&m IFl <br /> City,State-Zip Code approximately D 406) feet/ le GQ s _of_ 99 mien 4c Pd, <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 AppTorm\DrivewayPaved frontage <br />