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COUNTY 4F SAN JOAQUIN Date: A 'IL 13 2010 <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> L <br /> DRWWAYSAND,PAVED FRONTAGES <br /> 6 ` <br /> PERMIT APPLICATION CR#: c,�44o 492 <br /> APPLICANT OFFICE USE ONLY <br /> Name: Rau flikelkip 0 <br /> Address: 8 7 t too JOB#: 11005 ISSUE DATE: <br /> State, Code: S APN j(q--Zh>—I Ir FEE DUE: <br /> Area Code -T one Number EXP.'DATE: DRIVEWAYS: <br /> STREET: �3"*,,^or Aft. * <br /> SITE INFORMATION: AREA: ., QUAD &S _ <br /> Parcel Owner's Nares .v TYPE: <br /> Si@e Address: q, FORMS: Z <br /> City,Swe, '-Code: NOTES: t - <br /> Area Code -T umbar: ` <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: c. a t AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> Com,Safe. Code: INDUSTRIAL: @RNV <br /> Area Code -T0gowe Number RESIDENCE: <br /> `k- PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The u_ndersigned hereby a rphes forpermission to excavate,construct and/or otherwise ouch on County H' way y on the <br /> o side of SurtSe t i stet ! fee midasr <br /> Of byin$taftg A llllalri�%w4ry !!4t4i 2C,4 <br /> a 4fef 10 u. <br /> Work will <br /> commence on or about for approximately days. <br /> J <br /> SKETCH(Separate sheet may be subrnittedj 1, ,a <br /> 1 t ' <br /> C J ( l S <br /> 4C <br /> 1201 <br /> T <br /> Will this project be self-installed? YES _)(-_No Contractor's License r3 6�J j <br /> M10ENTRALSERVICEMLERICALtPU&SV.WX\MASTER.P$\ENCROACFWENTPERMTQRAJF-MY.DOC (ion) Pagel oft <br />