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-C�c,06,0,7 <br /> COUNTY OF SAN JOAQUIN Date: S l 1 / G <br /> Received b <br /> --��- <br /> DEPARTMENT OF PUBLIC WORKS RecCR- —�y?�Z — <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERNUT APPLICATION <br /> APPLI OFFICE USE ONLY <br /> JOB 9 11005 ISSUE DATE / <br /> �– N e APN�( - GAO- Z� FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> i <br /> Address STREET /�A/SEK' /2,'r� A G-, G <br /> > Q A,- q J Z\ � QUAD <br /> � Ci State-Zip Cade TYPE L:rz <br /> �52q LQ FORM <br /> (Area Code)Telephone NOTE —7 <br /> SITE INFO TIO NO /Pi/ <br /> cel vnefs Name <br /> �y / te Addre <br /> DRIVEWAY <br /> Cl State-Zip Code TYPE QUANTITY WIDTHS <br /> a2-9(0 AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMIvvIERCIAL <br /> INDUSTRIAL Co, 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 WP S� side of r-,eel <br /> City,State-Zip Code approximately p,2 S feet/� SQA _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 /> AecessTer App',ForniDrivew ayPaved frontage <br />