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COUNTY OF SAN JOAQUIN Date:/-&--/Q? <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 01;3SU <br /> PEF20T APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> J� JOB# 11005 ISSUE DATEName <br /> n<�cr� y� �' APN O 17 - O o- 5-7FEEDUE_ <br /> S EXP.DATE DRIVEWAYS: <br /> (odl7s STREET 'Gt-A(c C�.Dfqt p. _ <br /> AREA A(-,f�M En QUAD_Al <br /> City,�State- ip C _ TYPE <br /> 1.., (z(D6 a Z 5 FORMS <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION Nv / <br /> Pe Owners Name LC <br /> 4"V <br /> Sife�Addre s 1 �� <br /> ��q 7 & C_-l G�CQ-Ee l� DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> a '55—z Z 0 AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL _ @ 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 W6r141 side of <br /> City,State-Zip Code approximately 0,35 r s� of xv <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 /> AccessTer AppTorm\DrivewayPaved frontage <br />