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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Rec ved by _ <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERAUT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> N42gL_ �-,97 FEE DUE -/ <br /> A4 d EXP.DATE DRIVEWAYS: <br /> STREET e <br /> , ,t <br /> cJ(ll d4AREA QUAD ° <br /> 7.� C .- TYPE_ d-j. <br /> l . � + p5,2 <br /> ORIS 4-/7 <br /> Area ))T le OTE <br /> SITE D6ORMATIOAt : <br /> Par <br /> 1.4 <br /> DRIVEWAY <br /> State-Zi TYPE QUANTITY WIDTHS <br /> AGRICULTURE _ @ FRONTAGE <br /> Z14-1 (A El co Cod) �� COMMERCIALV x <br /> INDUSTRIAL @ R/W <br /> 02M.. 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'Sg,-r side of 'X<"%T /r'L X P, <br /> City,State-Zip Code approximately 4 f of �c✓J= J <br /> /5,or7T k' by installing 2G/ <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 /> AoomTer App\FormodvewayPaved f mtage <br />