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} <br /> COUNTY OF SAN JOAQUIN Date: 2010 <br /> DEPARTMENT OF PULIC WORKS <br /> DRIVEWAYSDRIVEWAYSS AND PAVED FRONTAGES Received By: <br /> PERMIT APPLICATIQN CP,#:_C`) LI[35 3 <br /> S'-1c,"o <br /> APPLICANT ; OFFICE USE ONLY <br /> Name: ;Address:yU ;=! <br /> j JOE# 11005 ISSUE DATE:Ci ,State, ; ,JOB 7- Viz- t FEE DUE:Area Codee Number c3 _ 1 i EXP.DATE: } <br /> DRIVEWAYS: <br /> T' i STREET. <br /> SITE INFORMATION: t AREA: r�t�G1 QUAC`_ <br /> -Parcel Oaurter's hams: -- - --__ <br /> r1 "T i <br /> j T`(PE \V <br /> Sete Address: '7 `7 C ke FORMS: S cti1 t 4� <br /> State, <br /> Z Code: t ; NOTES: <br /> Area Code -Telephone Number: g qt _— <br /> DRIVEWAY <br /> CONTRA TOR + ; TYPE: ! QUANTITY W@THS <br /> Name: AGRICULTURE: FROfitTAGE <br /> ! Address: j — _.i F <br /> —- COMMERCIAL <br /> City,State.Zip Code: �? iNDUST€ZiAL. -- - - <br /> Area Code -Tele hone Number 1 - ---- _.____ _ _ <br /> p �a` - - SzFf; ; REsIDEN�E. is <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> T.�e undersigned hereby applies for permissio�vate,construct and/or otherwise e County Highway Rl9ttt-af•Way an the <br /> 1. at�ln side of S� <br /> of (jc`n approximately 1 feetimife <br /> ��--" �- ----__ _' __.__ ,by installing _ <br /> 4C E' d lam-stn; gyp_ , <br /> commerce on or about ----__ Work 4 <br /> for approximately _-_ l© days <br /> i SKETCH(Separate sheet may be submitted) --- <br /> i <br /> i <br /> i <br /> i <br /> W!1 this project be sef-installed? YES NO Contractor's License <br /> AkIG'EiV-RALSERV:Cr3;:',ERIe,ALi�U3-S'v.VUK'.MAST i.?51,RdCR,�,,'Cri.'sfr?d?cRA�T DR*JEWAY.DX <br /> Page 1 oil <br />