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COUNTY OF SAN JOAQUIN Date:_/_/__ <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> cR# D3 4 3,- 3 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> 2 , T-►e JOB#11005 ISSUE DATE 113 1 08 <br /> Name APN - FEE DUE <br /> 111/2 C' ..ir�.r•�C 1A1 EXP.DATE DRIVEWAYS: <br /> Address STREET <br /> �_7—85y� __:nZ QUAD S K/ <br /> —� City,State-Zip Code TYPE *�— <br /> .�o9B/Y.2yG�N�I 4aq"Of30o FORMS <br /> (Area Code)Telephone NOTE <br /> ITE INFORMATION <br /> ltit►ZA- <br /> Parcel Owner's Name - <br /> 18.2/5 sou3 �W Y Zti <br /> Site Address DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> 2Q� 835 _ D9,zg COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ R/VV_ <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE, <br /> �—� .l.e. LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> �y.? �E.yfn.oL LN <br /> Address The undersigned hereby applies for permission to encroach on CounjHighway <br /> r9 CV /f� 95 Ad Right-of-Way on the side of <br /> C City,State-Zip Code jKg approximately feet/mile of <br /> e1oq. 8/ 41 <br /> Y.�?Y�6�6� 209. 30.90 ,by installing c,r� a { _ <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 �03�95 <br /> Aocess\Per Apff ormlDrivewayPaved fraatage <br />