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COUNTY OF SAN JOAQUIN Date: <br /> UEC 11R I tY1LIV VC IDVLIV YAYVIDVC <br /> Received By: "�c'DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> Name: :Yamcs bot�'-osSo 11005 ISSUE DATE: <br /> Address: �o �i� t�.8� JOB#: - <br /> C' State,Zi Code: L�,,. Ca .... 14S23 b APN 1657.— tL16- t l FEE DUE: <br /> Area Code -Telephone Number: ?�Q- bat- z EXP:DATE: DRIVEWAYS: _ x <br /> STREET: 2! SCS I,�v�CA AD <br /> SITE INFORMATION: AREA: L i t <br /> Parcel Owner's Name: r�mk-J. es T TYPE: + <br /> Site Address: zz.s© 2 FORMS: 5S <br /> City,State,Zi Code: 9 NOTES: <br /> Area Code -T ne Number: Zoq , t-- DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: L@FRONJAUE <br /> Address: COMMERCIAL: <br /> City,Stats, Code: INDUSTRIAL: <br /> Area Code -Let phone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned herebyap lies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> E <_._fi_____side of ?,� approximately feet n�l <br /> of ,by installing - <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> Y..F0"d TEWLATESIENCFC004ENT PERMIT DRNEWAY.dw(ONS) �� �` �V'— C�9 t,/ C'1... V 2— <br />