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COUNTY OF SAN JOAQUIN Date:Q22 <br /> DEPARTMENT OF PUBLIC WORKS CRP % <br /> CRd by _ <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICN;T OFFICE USE ONLY <br /> 6 yt y <br /> el (, JOB# 11005 ISSUE DATE <br /> Name APN Z_�!J-za-oc) Y FEE DUE <br /> ? EXP.DATE DRIVEWAYS: <br /> Addr ss STREET Dawe Tee 2azd "__ <br /> _. fie <br /> f��` �S t+/a✓� QUAD S-H <br /> _ City,State-Zip e TYPE * _ <br /> �CGiI//'1 ?Z-C FORMS <br /> (Area Code)Telephone NOTE _ <br /> - G (L - <br /> �/P <br /> ITE INFORMA�N <br /> Parcel Owners Name <br /> Sit Address DRIVEWAY <br /> V 0r1e -"A C,c' <br /> THS <br /> City,State-Zip Code TSE QUANTITY ONIDAGE <br /> !? C_2 AGRICULTURE @FR <br /> (Area Code)Teleplione COMMERCIAL <br /> INDUSTRIAL @ RIW._ <br /> 3 f RESIDENCE <br /> NTRACTOR PAVED FRONTAGE <br /> f (.4 et e-j 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 �-6t,4� side of ZM.P Tee° <br /> approximately ��83 ee /mile <br /> City,State-Zip Code by installing <br /> (Area Code)Telephone <br /> 04 1v <br /> Work <br /> tivill commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? 110 YES Contractor's License <br /> AccessTer App\Focm\DrivewayPaved frontage <br />