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COUNTY OF SAN JOAQUIN Date:03 /04 /06 <br /> DEPARTMENT OF PUBLIC WORKS Received by T, <br /> CR# 0.3.7- 7� S 7 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE / <br /> Name APN oY8 -&.L) -_4 8 FEE DUE <br /> LLC EXP.DATE DRIVE«'AYS: <br /> Address STREET__W )Ct� a9 e led <br /> 1,00-7 /Qa QUAD_ 16 <br /> City,State-Zip Code TYPE Cmoll, __nr.pf_• # <br /> WoodC4. S ZS FORMS <br /> (Ar a Code)Telephone NOTE <br /> C2�i) 3G7 - 2i7/ n / <br /> SITE INFORMATION <br /> crGuG/.e b�'Gorr�ir►cndtd <br /> Parcel Owner's Name <br /> Site Address DRIVEWAY <br /> �f/eS/- U �' s TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> _ , r/i CA 95240 COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ RI <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 WPS 74 side of 99 Frm�G!G Ae& <br /> approximately 013 feet/� /harm of /arm s�isn a k'd. <br /> City,State-Zip Code 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 /> Acress`per App'Form`DrivewayEavcd frontage <br />