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COUNTY OF SAN JOAQUIN Date: ;2.bak9 <br /> DEPARTMENT OF PULIC VMORKS <br /> Received By: 14,Xi <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR# 0311 Ito <br /> AP <br /> PLIC T --""'� OFFICE USE ONLY <br /> Address: wyo JOB#: 11005 ISSUE DATE: <br /> Cfty,State,Zip Code: APN _j'2 -},3a -ok FEE DUE: <br /> Area Code -Telephone Number: .. C EXP,DATE: DRIVEWAYS <br /> STREET: R. LS_ftt. <br /> ITE INFORMATION:C—k AREA: Tom! QUAD -_S>ra <br /> Parcel Owner's Nam I S\. TYPE: <br /> Site Address: FORMS: R- <br /> City,State,Zip tode:SL�=Jkfz�paNOTES; <br /> Area Code -Tele hone umber: C73 rSO k A <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @ FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: @ R/W <br /> Area Code -Telephone Number: RESIDENCE:: P4- <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise enc ch on County Highwa Rpt-of-Way on the <br /> WA-sr side of J_o sz Sb?JEs T-ZU. approxirgately <br /> Of 'SAISE ?212'f' A4,44S. by installing 7 �✓" <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:1FORMS d TEMPIATESENOVAOifieNT PEAW ORIVEWAY.dw PW <br />