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COUNTY OF SAN JOAQUIN Date: 3, <br /> DEPARTMENT OF PUBLIC WORKS Received b� <br /> CR# ®-32;V /.,--- <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> _ JOB# 11005 ISSUE DATE <br /> cs Name APN /`7 -Z730 FEE DUE <br /> L EXP.DATE DRIVEWAYS: <br /> Address STREET 1J,r.Jcq Si. <br /> _ 1:;�;7�O Z, QUAD A6 _ <br /> City,State-Zi Code —�c�- TYPE ` <br /> 2-6-j— 2 �� <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION y�S /�G /Z 195J; <br /> o� ekisL, <br /> �1ouSt. Rep�pe.G Lv <br /> Parcel Owner's Name LE ° e k s"Imj e,,,, liyjG/Y1 � / <br /> Z <br /> site,A ess G. DRIVEWAY <br /> C%Gt <br /> City,Sta e-Z'�p Code TSF QUANTITY WIDTHS <br /> �' t� Y <br /> 9s , <br /> s AGRICULTURE. (a�FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL C R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <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 _side of //S/JhOf /-�LwWaC <br /> City,State-Zip Code approximately lOSy ee /mile o r _of Chr pakeP <br /> zwwt :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 /> Access\Per AppTorrnDrivewayPaved frontage <br />