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COUNTY OF SAN JOAQUIN Date:,/26 /Zao <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> 3 y 7�3 <br /> DRIVEWAY AND PAVED FRONTAGES cR# <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> C3^m c� -, 1^G. JOB# 11005 ISSUE DATE <br /> Name APN ta_- 2 2p -.Sy FEE DUE 7tj7Q <br /> 5 EXP.DATE DRIVEWAYS: <br /> Address STREET <br /> t FI L1( 4v r w,-c•, Cc,.n r� AREA� �n ——QUAD N C <br /> City,State-Zip Code TYPE _ <br /> q S 2_3 4. FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION Np /a'i- <br /> 55 v L C_ i e_ <br /> Parcel Owner's Name <br /> A^ - Site Address <br /> c, P o i C0. . g 5 2_Zo DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 20 ct 1 ti s e _ (�6�1 y AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAI, <br /> INDUSTRIAL X 3 @ R/W _ <br /> RESIDENCE <br /> Cy�CON CTOR PAVEDFRONTAGE <br /> rS :;-,L.. LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> u <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> y��Q,-h. C,C,, qS'L 3(o Right-of-Way on the �f�u�l side of WOOL/0 doe 2d. <br /> City,State-Zip Code approximately G•3(o feet 4svlll� Cc%P.S A of <br /> �Zdq) 1{:5(p- C071 1 Li by installing <br /> (Area Code)Telephone <br /> Work <br /> NvilI 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 /> AccessTer App'Torm.DrivexavPaved frontage <br />