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COUNTY OF SAN JOAQUIN Dater/-V/a� <br /> DEPARTMENT OF PUBLIC WORKS Received by CR# e-3aB <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Wv�_ � Name APN!7 3 _ /2(� _ S� FEE DUE <br /> EXDATE DRIVEWAYS: <br /> r P.rp � STREET ,¢L6t"��E7" 9✓c, <br /> S7Gcle rG A) QUAD <br /> v ` _ City,State-Zip Code TYPE 2W <br /> FORMS .6V <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION "g �/ { <br /> cel Owners Name <br /> �f L ite ess DRIVEWAY <br /> ,A City,State-Zip Code TYPE QUANTITY WIDTHS <br /> g AGRICULTURE @ FRONTAGE <br /> (Area ode)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 ejqcroach on County Highway <br /> Right-of-Way on the side of <br /> City,State-Zip Code approximately /SD e /mile ,,,.v�4 of A-o� ('f_ <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 /> Aocess\Per AppTormOrivewayPaved frontage <br />