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P -aBDIGS4 <br /> COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> C R# 36 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> N �I — APN 10 - Y&O - (JJ FEE DUE <br /> (3Wf"ro M\ — EXP.DATE DRIVEWAYS: <br /> V� �ess �� \ —' STREET <br /> �� "t ZQUAD N6 <br /> - City,State-Zip Ca TYPE fJ <br /> r "I" u) FORMS 55 AIRY 7 -- <br /> (AreaCode Telephone OTE —� <br /> Zo9 ��-Z�i3 ter/ <br /> SITE oRMATION <br /> NA <br /> _ Parcel Owners Namea <br /> Site Address DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 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 e4 oach on County Highway <br /> Right-of-Way on the 'jd side of LO/� 6Li5 <br /> approximately G eet of k:/-,8, <br /> City,State-Zip Code ,by inst g WA <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> w <br /> -SOX CUC(SE S q <br /> 69 <br /> Will this project be self-installed? NO YES Contractor's License <br /> AccessTer AppTorm\DrivewayPaved frontage <br />