Laserfiche WebLink
4 <br /> COUNTY OF SAN JOAQUIN Dater <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# s <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APNogS _-_[L O - FEE DUE <br /> 2! YFf°�' L•a/VS712 Ve-rIQ 4 .7;Ve— EXP.DATE DRIVEWAYS: <br /> Address STREET Wr dd <br /> 7- 03 0/ /V D/5 cl7e R 4 S4.� QUAD <br /> rty,y�tate-Zjp Code TYPE <br /> L dcke 7-0--g (' QSZ 37 FORMS <br /> (Area Code)Telephon 'wone J OTE <br /> 2 09- 7-/v- 7 6,C C7 <br /> SITE INFORMATION <br /> No/,O��� <br /> Parcel er's Name <br /> '06Tc `c y X-0 r2-1,gXi,4,oV <br /> Site Address <br /> _yt f � IM� 44 DRIVEWAY <br /> City Stat Zip Code TYPE QUANTITY WIDTHS <br /> S TOCK 7jV J 6 -7.5 7-0/ AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE ✓ <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Ne <br /> �rC Cs/VI(/_5 g Nam <br /> �iV6s,1r <br /> Address The undersigned hereby applies for permission to encroach on Coyyty Highway <br /> 2-S ?,g N /A¢CRight-of-Way on the orl' 'de of 62/eep- aa, <br /> approximately 0,27- feet LCt S of Pe-CAi et Z <br /> City,State-Zip Code ,by installing <br /> (Area Code)Telephone <br /> L OF - 759- 36 V3 <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 AppTorm0riveway.Faved frontage <br />