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f COUNTY OF SAN JOAQUIN Date: 3 a 107 <br /> DEP ARTIVENT OF PUL'1C-1A`ORKS <br /> Received By: -- <br /> DRIVEWAYS ANS PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: 032! 'f 7- <br /> APPLICANT OFFICE USE ONLY <br /> Name: <br /> Address: 2 JOB#: 11005 ISSUE DATE <br /> City,State,Zip Code: w APN 4053-Zno:-05, FEE DUE: <br /> Area Code -Tele hone Number: EXP.DATE DRlf£WAYS: <br /> STREET: vtt YAW <br /> SITE INFORMATION: AREA: yp/ QUAD <br /> Parcel Owner's Name: ? TYPE: <br /> Site Address: ULG FORMS: <br /> City,State,Zip Code: NOTES: <br /> Area Code -Tele one Number: 2-? "- <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: I @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,? Code: INDUSTRIAL: �RW <br /> Area Code -Telephone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft.. X WIDTH: R. <br /> The undersigned hereby applies for permission to excavate,construct andlor otherwise encroach on County Hig wa Ri ?t--of-Way on the <br /> FAST side of approximately L <br /> Of AM, l ,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 Dense <br /> WORM d TEW ATESEMADAM EM PEWtlT ORKMY.doe.(OBM178y <br />