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�? <br /> COUNTY OF SAN JOAQUIN 1y) I C,Date: <br /> DEPARTMENT OF PULIC WORKS —I——Iq <br /> DRIVEWAYS AND PAVED FRONTAGES Received By: ax&C— <br /> PERMIT APPLICATION <br /> 'APPLICANT K-=t --------- <br /> �FFICE�JSE Q-N�LY � <br /> Address: <br /> JOB#: <br /> 0i I State,Zip,,'ode: 1005 ISSUE DATE: <br /> APN <br /> Area Code -Tlelep on NuMber� A.j- 'Zj6-Cq FEEDUE: <br /> XP.DAT;Et.- - i <br /> --------------------------------DRIVEWAYS: <br /> STRFET <br /> S;7 E R N!A,T i0 4: <br /> AREA: <br /> ,, �:y�. QUAD <br /> Narne: z <br /> :�fpl TYPE: t Q- <br /> FORMS: <br /> .�!y,State.Zip Code: <br /> Area'Code -Telephone Nur nbe <br /> NOTES: <br /> r- 7 <br /> DRIVEWAY <br /> --ON <br /> am I L TYPE: QUANTITY <br /> WIDTHS <br /> J v6l�� IfiGRICULTvR i <br /> L, - -L­7� ; COMMERCIA L FRONTAGE <br /> FL <br /> Ci'y,State,Zip Code: <br /> ---------------- <br /> T elephorelNumb-,r. <br /> L Area <br /> Code <br /> RESIDENCE: <br /> PAVED FRONTAGE <br /> �' —LENGTH _ Ff. 7 WIDTH <br /> Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway RI n 19 wa,�Y�j4t-of-yVay on the <br /> side of appro)dmately.. <br /> o:....- — ------ by installing <br /> ---------- <br /> -—--------- <br /> commence on or about 'JUork will <br /> for app roximateIy days. <br /> _YKEtCH�(Se;)airaate sneet may be submitted; <br /> 07 V—S <br /> 2 , �kvv� <br /> 'vVt1i t^is project be seif-installed? <br /> ti <br /> —NO COntractorIsUcense <br /> Page',ti 2 <br />