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COUNTY OF SAN JOAQUIN Date: 7-17' 2616 <br /> DEPARTMENT OF PUL1C WORKS <br /> Received By4zyz,7,_ <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION ' CR#;CXR j( 7 2- <br /> APPLICANT,APPLICANT <br /> NamOFFICE USE ONLY <br /> e: A✓LC. "C1°gec r AL t c,n ►h <br /> Address: _a Ea IQ 2 i `OB#: i�4C5 ISSUE DATE: <br /> ;ity,State,Zip Code: SC;r k yr <N5� i + APN <br /> -: FEE DUE: i <br /> .Area Cade -Telephone Number: g2j - - - < EXP.DATE: 5 { DRIVEWAYS: <br /> STREET: <br /> SITE 1NFORMATIQN: _ <br /> _ _ AREA: i- t _QUAD <br /> t <br /> Parcel Owners Name: C�Lr0.0i�aL1.` TYPE: 2 WC.. <br /> Site Address: �; a e , rte j FORMS: E� <br /> City,State,Zip Code: � _ - <br /> 2 ` NOTES: <br /> Area Code -''ele hone l`3urnber�<,,, -� -_ <br /> DRIVEWAY <br /> CONTRACTOR 1 TYPE: QUANTITY - 6"JfrJTF#S <br /> Name: <br /> AGRICULTURE: ; tFRQNTAC�E <br /> Address: �COMMERCIAL: <br /> - - — - ' <br /> Ci State,Z Code: -- - <br /> �_._. _ p uS _ <br /> --��C .�.--- i INDUSTRIAu. <br /> Ansa Code Telephone"umber: ?h y - RESIDENCE: <br /> -- ___�`?_ `____--_ <br /> �,_�_ <br /> dot <br /> PAVED FRONTAGE <br /> i <br /> LENGTH: Ft. X WIDTH: Ft 3 <br /> The,l&ersi ned hereby applies for permission to excavate,co strict and/or otherwise encroach;on County Highwa Ri ht-of- on the <br /> J— side of- 1~ T approximatelyof <br /> --------- - '---- - - - by instaning— <br /> commence on or about —` --- --------- Work will <br /> _for approximately days. <br /> i SKETCH(Se rate sheet may be submitted) <br /> /f 1 <br /> Nell this project be seif-ihstalied? `<_S NC Contractor's License <br /> Li':CE\.RAt.SERV!CkSC��k,;AL'.i''.;3SV.J:K':pRSTER.?S\EkCR.Jq�kD£!i:P�R �P,�VR,yH'.'.DOC !1�^.y <br /> Page', <br />