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aopkaW,and that the.description included in this application are correct to the best of <br /> aqb4h <br /> t ,prqerty,or is qualified to represent the owner;and <br /> SPonk ilttyy for Via;inpury or damage to property which may arise out of the work <br /> of herein;to do the work provided herein;and <br /> County of San J <br /> oto israde against ate oaquin or any department,official or employee <br /> nay _ each of them Itarmiess for such claim;and <br /> 5. ftre. fit a 'or arty representative o#the application in the County Right-of-Way at the above <br /> w �. eiroachrnent Perm;and <br /> $; w .. d,as reqs,ha agrees to do the work described in accordance with all terms,condition and restriction <br /> �f as ors�aecia!III provisions. <br /> 77 <br /> ate <br /> � R WS«««««««««««««««««««««< <br /> I t1S <br /> Gravel Aggregate Base Q Paved(poor) ❑ Paved(good) r <br /> Wards Pavement ❑ Flat <br /> :. --T <br /> No ' Approaches Cross Dram Size <br /> Ra <br /> 3d^A "W77 <br /> , <br /> 6; <br /> ,l Ye 2Porrtt ❑ Other ❑ Y11idth Depth <br /> REOWR€MEM<<<<««««««««««««««««««« <br /> t< . 0 O Itidustrial p <br /> Vim Doph A.C.over Win Depth I/V A.B.over' <br /> 1tuirecf <br /> 1A Ft.and Diameter of Pipe inch(es) <br /> tQad t dtivSwaY*e Yes ❑ No ❑ <br /> L . y <br /> (w proposed) Total Number of Storm Drain Inlets: <br /> 8 fAfi t. No <br /> � t Pa f "Min Depth A.C.over 'Min Depth{4"A.B. <br /> . #eascrrirtg Feet in length and Feet in width <br /> >>>>>>>>»>>>>y»»>y»»»»»FEES««««««««««««««««««««««««««« <br /> $102,00 Paved Frontage $108.00+0.501ft. <br /> $t87.00 8 Curb,Gutter,Sidewalk $105.00+1.03/ft. <br />