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COUNTY OF SAN JOAQUIN Date: (d 22.I to <br /> DEPARTMENT OF PULIC WORKS <br /> AW <br /> Received By: <br /> AYS AIM PAVED FRONTAGES <br /> PEST APPLICATION CR# "/7 <br /> APPLICANT OFFICE USE ONLY <br /> Nave: 3'4+C e'z <br /> : > JOB#: 11005 ISSUE DATE: <br /> St*, Com: APN 1 a'3-056-?Z FEE DUE: <br /> Area Code -T _ EXP.DATE: DRIVEWAYS: <br /> 0401. -� STREET: A�w► �C, <br /> SITE TIO : AREA: �: QUAD N <br /> Parcel firm`s Name: TA5c,46Lo TYPE: <br /> See Adm: 1111w f . IA"A $+. FORMS: 1ti7 j <br /> City,Std' Code S Z NOTES: <br /> Area Code -Telephm Number: <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: FRONTAGE <br /> Addrew- COMMERCIAL- <br /> City. <br /> OMMERCIALC . Code: It=STRIAL R/W <br /> Area Cod -Toephone Number. RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft X WIDTH: Ft <br /> The mdem gned hereby appfies for Pmmm an to excavate,Construct and/or otherwise encroach ort County��ight-af-Way on the <br /> "4,,. y side of f tt ,! ' approAmately t 5 Drs f AMSr <br /> gz�, byinstalling <br /> comffwx a on or about for approximately days. Work wit! <br /> SIGH(Sqwate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractors License <br /> aS 'WOfrlt3RGtSitAR ^ RICAIWF7&SVfMK11v445f@t PEftdlfTOR1VEINAY.DOC (tfl <br /> Page Iof2 <br />