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COUNTY OF SAN JOAQUIN Date: 7 / I I / Zoog <br /> DEPARTMENTReceived by <br /> OF PUBLIC WORKS CR#Sj3S9l9�_ <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> AP`� ( � JOB# 11005 ISSUE DA <br /> N�me APN OS-LQ- 09 FEE DUE /,Fu <br /> S 0 2 S (�ftT .:'0J EXP.DATE DRIVEWAYS: <br /> AddressA p STREET ZGiiyl�/i'!GT 2D• <br /> da�Cd�lc V't- 1 S 36r �Sc�Lar✓ QUAD � <br /> r 1��.✓ <br /> City, <br /> 2 O S64. 2cTYPE <br /> (o'*- FORMS <br /> (Area Code)Telephone OTE T— <br /> SITE INFORMATION <br /> �Pcel Ovnlas�( Nam( <br /> � <br /> Site Addr ss DRIVEWAY/ ( O TYPE QUANTITY WIDTHS <br /> �9City,�tU�aty;Zi�Co�eo� AGRICULTURE @ FRONTAGE <br /> 44 ��{{ COMAERCIAL <br /> (Area Code)Telephone INDUSTRIAL @ RIW <br /> RESIDENCE <br /> GCON CT c�C 1 PAVED FRONTAGE <br /> ky�^ T 1 I�h LENGTH: Ft. X WIDTH: Ft. <br /> N <br /> C-((—r Lr q �raw �t <br /> Addre q The undersigned hereby a plies for permission to encroach on County Highway <br /> ��(_ C � 1 3 G Right-of-Way on the side of 7ri,� e���/rt <br /> I�'� �dd approximately L� eet �.4 5T of G'�9 2.«Iti✓ <br /> 'ZQ City,St�jt Q-Zip C_G.tr a rL ,�. by it g �G✓ <br /> (Area Code)Telephone T <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 /> Access`Per Apff ormOrivewayEaved frontage -- <br />