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COUNTY OF SAN JOAQUIN Date: 41,21201 <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> MEW r 'PAVED FRONTAGES <br /> MW APPLICATION CR#: P44OW1/ <br /> APPLICANT OFFICE USE ONLY <br /> Nares: ,;ZvJ ,�'"a v <br /> Address: 2 GAiL ,TOB#: 11005 ISSUE DATE: <br /> city,state,Z Ccx : APN 9 4 XP,iV FEE DUE: <br /> Area Code -T Number EXP.DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: QUAD <br /> Parcel OoWs Narne: TYPE: <br /> S Address: , C.r n/i 0 nr'. FORMS: <br /> 9 ade: C/4 NOTES: <br /> Area Code .10tum:, t3 5 <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Nam: AGRICULTURE RONTAGE <br /> Ate: COMMERCIAL: <br /> She, Cade: INDUSTRIAL: @RW <br /> Area Code -TeWphoneNumber. I RESIDERlCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft, X WIDTH: Ft. <br /> The ur rs gr d hereby appoes for pemlisslon to excavate,construct andfor otherwise encroach on County Hi t1 ray Righ-of-Way on the <br /> ja:SEsiva Of fAn approximately b + <br /> of „ by installing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separa#e sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> M:CENTRALSERVICESVCt6tIGALWUMV.WKVMSTER.PMEHCROACHMIENTPERWDRKMY.DOC (INS) Page Iof2 <br />