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COUNTY OF SAN JOAQUIN Date: --��� <br /> DEPARTMENT OF PULIC WORKS <br /> DRIVEWAYS AND PAVED FRONTAGES Received By: <br /> PERMIT APPLICATION CF,#:_ <br /> APPLICANT ! OFFICE USE ONLY <br /> AJ <br /> Name: ( ---- --—+ <br /> Address: 282,81, li+Qnlp R 1 jOB#: 11-005 ISSUE ELATE: <br /> Ci ,%*,74p Code: ; APN �2¢_ �p-/!o FEE DUE: <br /> Area Code -T Num 9 83 - 7 i EXP.DATE: DRIVEWAYS: <br /> I STREET: QIJAD7-- i <br /> k <br /> SITE INFORMATION: I AREA: =� -- <br /> PEsI fhrr's tie: R, ,C,�` TYPE: <br /> Addtess: FORMS: <br /> i NOTES: <br /> Area Code -Te Pdum 833 3 7 <br /> I DRIVEWAY <br /> CONTRACTOR _ j TYPE: QUANTITY �A WIDTHS <br /> i I AGRICULTURE: _� FRONTAGE j <br /> Ate: __ ' COMMERCIA <br /> CAY,a` e, Code: _ INDUSTRIA. _--____--_ fr.------ <br /> An�Code -T Number: <br /> —i 3 RESIDENCE: 1 <br /> J I <br /> X4-Le. zQa /j ,tt/ , iq 5/0/� ? PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. I <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Hi ay Right-of-Way on the <br /> .EAST s of _ 1•����s+rya ,¢y�, approximately— ? _ mile �✓o l <br /> of_ _ Zt"" ice, C,�Gy _ __ by installing <br /> Work will <br /> commence on or about for approximately_ _ _ _ days. <br /> SKETCH(Separole sheet may be submitted) <br /> j <br /> I <br /> E i <br /> i <br /> ; <br /> I <br /> s <br /> i <br /> i <br /> i <br /> ; <br /> NO this project be sett-irti le i? YES NO Contractors License <br /> MACENTRN—"MlCEWLERICALPUB—$Vi&,K,AvirEP.PsVEPicRoAC,HWEN PERMTDRrVEWAY.Dx (+.^,`65) F-,re'.ct2 <br />