Laserfiche WebLink
COUNTY OF SAN,:OAQUIN Date: Zc�t <br /> DEPARTMENT OF PULIC WORKS Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION Joo t3G� 0=� 04 11 (4$ <br /> APPLICANT -5 -_2 <br /> � I OFFICE:USE ON_`!'- <br /> ' Atmos. i )U, i 1 JOB#: e 1:005 ',SS11.3E DAT E� <br /> city,Vie,ZIP Code- APN l 4 G-C>2_ FEF DUE: —-- <br /> Am Code -T Number 31,Q-6So EXP.DATE: CR 'Et'Jra�C: <br /> i STREET: <br /> SITE INFORMATION: _ I AREA: CCAD___ . <br /> Parcel Ow `s Name: I TYPE: it%,v <br /> Vie- Z. i e' ; FORMS:City, Zip <br /> Code: X2,6 i NOTES:_--- —.----- --—-- <br /> Area Code -Telephane Number: <br /> 3 DRIVEWAY <br /> CONTRACTOR — I TYPE: QUANTITY!TY --- yV D T!S <br /> Name: aU i AGRiCUL7URE FPONT.AGE <br /> Adams: COMMERCIAL -,- — ~— <br /> She,7jpCode: INDUST RIAL __ a,R1W <br /> Area Code -Telephom Number: <br /> I <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X `JVJI,7H: Zr <br /> The urxWtgned hereby appiies for permission to excavate,construct andfor otherwise encroach on County Highway Rig,t-of""""ay on t^e <br /> safe of:_ — J�•� _% .�.--approximately.-s_ _—_--feetimile <br /> Of y <br /> installing ,src <br /> ---------- <br /> r -- - - <br /> __ Work viii' <br /> wmrrerice on or abouA 77 2-- z0 for approximately-�--_—� -.__--days. <br /> SKETCH(Separalte suet may be submit) - <br /> I � <br /> VO this p*d be 9eK,installed? _YES NO Contractor's License <br /> Mk CENTML&ERMESIC EMAL',PUB-SY:Wf WTER.?SkEWROACh'WNT PERL4T OR'VMAY.DX (',M, Pae 1�i 2 <br />