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COUNTY OF SAN JOAQUIN Date:.] /-21/- / D& <br /> , <br /> DEPARTMENT OF FUBLIC WORKS Received b T, <br /> CR# 0,34ed�, <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> / APPLICVT OFFICE USE ONLY <br /> '4 JOB# 11005 ISSUE DATE l a 7 /08 <br /> _ (� Name APN 62-�--4— FEE DUE _ 1,6L) _ <br /> _ Lit G S /TC' Ct r vLy EXP.DATE DRIVEWAYS: <br /> q ddress STREET < ll <br /> /� � S.2 2C: C QUA N C <br /> City,State-Zip Code TYPE 0-7, <br /> _ -zo &-j 2 Ld r� FORMS <br /> (Area Code)Telephone NOTE <br /> —��SITE INFORMATION /V0 <br /> v. CL c /lets,h2ay dam/ y S, o L, �u/.0 <br /> Parcel Owner's Name <br /> 1-101 <br /> Site Address <br /> a (" /C" `j 2ZU DRIVEWAY <br /> 'City,State-Zip Codde TYPE QUANTITY WIDTHS <br /> LU r te Z �� AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> ftLa7 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 Aloy,4A side of AC4Mrd, AQW- <br /> City,State-Zip Code approximately -5-00e /mile G--4Sof 99 <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 /> Acc�.-s`Per App`Fo=.DrivewayPaved frontage <br />