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COUNTY OF SAN JOAQUIN Date:/ !v <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APNfL� FEE DUEL L U <br /> CT 1 Z gyp.DATE DRIVEWAYS: <br /> Address STREET', <br /> X 2{ AREATc .c tii QUA <br /> City State-Zip ode TYPE L--) <br /> r <br /> T Rf�Cy 0(� 4`t348 FORMS c �.vw� P/7 <br /> (Area Code)Telephone NOTE <br /> 2oq - <br /> SITE INFORMATION <br /> Parcel Owners Name <br /> Z v. <br /> 100-o6 J,?,e,e /U <br /> Site ddress � h tri <br /> - —+()-+ R n R� DRIVEWAY. TYPE Q `Jls 3�c UANUTY WIDTHS <br /> CCty„Stat�Z� b AGRICULTURE tx: @ FRONTAGE <br /> '1 R�ej� <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL r @ R/W <br /> o`Z rJ RESIDENCE s�- <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 onthe side of <br /> City,State-Zip Code approximately. '75 p CfQWAImitV of <br /> by installing -7LJ <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 /> AcoesslPer AppTormOrivewayPaved frontage <br />