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COUNTY OF SAN JOAQUIN Date: -7 / /q /* <br /> DEPARTMENT OF PUBLIC WORKS Received by fe, <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> N e APNp07 -,3¢0- p/ FEE DUE <br /> Nel� EXP.DATE DRIVEWAYS: <br /> Address STREETEGI,f! 1010. s <br /> tr C� )+tL, AREA G QUAD <br /> City,State-Zip Code L� TYPE t e <br /> FORMSljlt�1,t7 All <br /> r (Area Code)Telephone NOTE <br /> --//� SITEff <br /> RMATION <br /> Parcr's�dme <br /> Site Addre°s <br /> N. O�I'�lL� /tc DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> c A `f`� L L ti AGRICULTURE @ FRONTAGE <br /> (Aica Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ wW <br /> RESIDENCEy' <br /> CONTRACTOR PAVED FRONTAGE <br /> — LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on Coun Highuay <br /> Right-of-Way on the as <br /> side of 45ru <br /> City,State-Zip Code approximately.... 722 f4P mile -rof <br /> -by installing <br /> (Area Code)Telephone <br /> — <br /> will commence on or about_ _ for approximately Work <br /> days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> Access\Per App'TormDrivewayPaved frontage <br />