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too <br /> ` r ^ COUNTY OF SAN,:OAOtII Date: -_z ' Z <br /> DEPART MENT Oil: EULIC WORKS <br /> t j <br /> Received By: •��-- <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CRS:coq 5-3 _-- <br /> APPLICANT OFFCE USE ONLY <br /> Name: I - <br /> Address: r i j jOa =5 ISSUE DAT 4: <br /> City,State,7jp Code: C 53 APN 72:37 b-3 FEE CUE: <br /> Area Code -Telephone Number. 3,:3`yac'(-to 3�' I EXP.DATE: P RiVEVsAYS: <br /> STREET: a -- <br /> ' SITE INFORMATION: ; AREA: QUAD <br /> -Panel Ovines Name: ; I :YPE: ,z L&Zuy ------ — - <br /> Site:.Address: i FORMS: S GvVV 91, <br /> ,State,7-:p Code: i ! NOTES: <br /> I Area Code -Telephone Number: ) <br /> e D. EVVAY <br /> i <br /> CONTRACTORTim QUANT 17Y — :VIDTHS <br /> j Name: I ; AGRICULTURE: ; ! aFPONTAGE <br /> i Address: { COMMERCIAL: <br /> �Cfty,State,Zip,Code: _ -- —-r INDUSTRIALL <br /> Area Code -Telephone Number: -- ; RESIDENCE: ! <br /> PAVED FRONTAGE <br /> i LEND H. C+, X WIDTH: Ft. <br /> The u ersi hereby app' for permiSSiOn to excavate,construct and!or otherwise en.3oach on County Hiahwa .�ht-oi v�,,ay on the <br /> side of _approximabz,ly., fee' <br /> Of g+& _ by installing <br /> W&K V011 <br /> commence on or about for approximately_— days. <br /> SKETCH(Separate sheet may be submitted), j <br /> f <br /> I <br /> 1 <br /> ! <br /> I <br /> i <br /> I ' <br /> I <br /> l <br /> I <br /> Will this project be self-installed? x YES NO Contractor's License <br /> MICEPi77ASER;ttCESAt`FcICAL�oU°SV.Y+.K'AAR33'ER.7SL�SiCROACii!vE�Ti7cP.R�T CP.NEbVFY.DOC {7A�+5) 7-,Ve 1 cf 2 <br />