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COUNTY OF SAN JOAQUIN Dater/C"' /off' <br /> DEPARTMENT OF PUBLIC WORKS Received by:�E— <br /> CR# 03 O5_2— <br /> DRIVEWAY <br /> 5_2DRIVEWAY AND PAVED FRONTAGES <br /> PERAUT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN ?3 - f 70 -5_7 7 FEE DUE <br /> L-oc�-V\ <br /> EXP.DATE DRIVEWAYS: <br /> Addre s STREETAJXZA5� [.'- <br /> 1 I. r/- JnC_ ,,J QUAD 6s # <br /> City,State-Zip Code TYPE P4/ <br /> 2!�-�_/ FORMS ✓C ear �7 <br /> (Area ode)Telephone NOTE —� <br /> SITE INFORMATION b 4�' 6 <br /> Parc4 Owner's Name <br /> Guy', <br /> Add��s <br /> b �• DRIVEWAY <br /> State-Zip Bode TYPE QUANTITY WIDTHS <br /> _� C,64 7 AGRICULTURE @ FRONTAGE <br /> (Area o�de)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 side of <br /> City,State-Zip Code approximately /SO (feet mile ,fau,4 of <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 /> Access\Per Apff orm\DrivewayPaved frontage <br />