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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OR PUL1C WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CRx: Z�W/5^2 0 <br /> APPLICANT s OFFICE USE ONLY <br /> R Name: Kiti Iver Gco.s vG 0Vt- ; <br /> k'Address: t,55 W. C(&-1 wtf JOB#: _ 11005 ISSUE DATE: <br /> -City,Stale,Zip Code: c t't S2olc APN FEE DUE: — <br /> Area Code -Te one Number. (2G '15-0 3G 2- EXP.DATE: DRIVEWAYS: <br /> ►^�o A ►� l rs W I STREET: <br /> MAm-tr--c-+R <br /> a _ SI T-EE INFORMATION: I I AREA: A <br /> Parol Owner's Name: -U 0% TYPE: <br /> Pi: — w <br /> Site Address: 1_35%5 FORMS: _-- <br /> State,Zp Code: 3s331 ' NOTES: �, t <br /> Area Code -TNumber: <br /> ? DRIVEWAY <br /> CONTRACTOR l TYPE: 1 QUANTITY WIDTHS <br /> i Name: ; AGRICULTURE: ; eFRONTAGE <br /> _— -I , COMMERCIAL: <br /> f City,State,Zip Code. INDUSTRIAL - ! <br /> i Area Code -TeleOvne Number: [_RESIDENCE: <br /> i� <br /> e ; <br /> I PAVED FRONTAGE <br /> i LENGTI : F+, X WoD l H'• <br /> The undersigned hereby applies for permission to excavate,construct andior otherwise encroach or,Counrr , y Right�f-vtia on the <br /> f' side of �$ _ approximately fS� <br /> f ND <br /> of &A S17 9ad'? i_ D. by installin <br /> --------_ Work will <br /> commence on or about for approximately days. — <br /> SKETCH(Separate sheet may be submitted). -- <br /> 1 <br /> i <br /> j I <br /> J <br /> i <br /> i <br /> i <br /> i <br /> �T <br /> Will this project be self-installed? YES NCS Contractor`s License <br /> WCENTRALSERVICESC LER CAL FUS.SV.WKiWSTER.?Sir5,,CR OAC ifAdEh?PERirSTGREJMAY.60C f1003; Pie 1 c 2 <br />