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COUNTY OF SAN JOAQUIN Date: � la <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> {PJVEWA fS AND PAVE?FRONTAGES <br /> APPLICATION CR#:_. ,9120 <br /> APPuT OFFICE USE ONLY <br /> Nam <br /> Ad*ew,� JOB# 11005 _ ISSUE DATE: <br /> . . 4 APN -a/ FEE DUE: <br /> A Code -T EXP.DATE: DRIVEWAYS: <br /> STREET: j • A9. ' <br /> SffE 011FORMATKN. AREA: QUAD , <br /> Pamet Oat's Nam: TYPE: <br /> Site Armes: FORMS: <br /> NOTES: <br /> Ame Code -Tfttwe Norbert <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Nate: AGRICULTURE: @FRONTAGE <br /> Acmes: COMMERCIAL: <br /> CAy, Cade: INDUSTRIAL: T @ RNV <br /> Arm Oo& -T limber: RESIDENCE: <br /> PAWED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersoeti hereby applies for permission to excavate,construct and/or otherwise encroach on County H' MIA, <br /> y on the <br /> side of ALFM P� vo. /i approximately ✓ �! <br /> of Ag /4 X/ /"4I-AE by installing !Vzol <br /> Work will <br /> commenm on or about for approximately days. <br /> SKETCH(Seperals sheet may be submitted) <br /> WM thils project be sellMnstalled? YES NO Contractor's License <br /> µSJPWGOV. P8W DRWftY.DOC (10109) Page I of 2 <br />