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COUNTY OF SAN JOAQUIN Date: I / 7 /69 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# a,32_3 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> r LICANT � OFFICE USE ONLY <br /> F_ C F� �'GI?? n JOB#�} 45 ISSUE DATE, <br /> Z� O C�.r 'HCl a m J Pl J APN- � -A" - Of FEE DUE 1kc) = <br /> EXP.DATE DRIVEWAYS: <br /> n/ Addre STREET 54A kr-41-1nA-rfl Gy <br /> J"lG C' ll tAREA 5'sac,A-r 4/ QUAD IV,,? _ <br /> City,State-Zip Code TYPE A✓ <br /> FORMS S <br /> ^� (Area Code)Tele hon NOTE �— <br /> SITE INFORMATION YeoS <br /> Parcel Owners Name <br /> Site A e s <br /> /(� - IA)9(J t A)flt) DRIVEWAY <br /> ddU <br /> State Zip. TYPE QUANTITY WIDTHS <br /> ZQ AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> z RESIDENCE <br /> r ONTRACTOR ' PAVED FRONTAGE <br /> GFX w USS CC'ln 7"iCi LENGTH: Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> � X, � � M l Right-of--Way on the E4S�' s' of 'Aix„Ii CAi'Zn- <br /> City,State-Zip Code approximately O.2S / e A),.- fi of QJ"Age .Pa! <br /> by inst ng <br /> (Area Code)Telephone <br /> Tse. <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 /> AcccessTer App\Form\DrivewayPaved frontage <br />