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COUNTY OF SAN JOAQUIN Date: 07011 <br /> T5-lloceko DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> - <br /> DfJV AYSAND PAVED FRONTAGES <br /> PERMrr APPLICATIBN CR#: <br /> APPLICANT OFFICE USE ONLY <br /> Name: ' <br /> Address: I JOB#: 11005 ISSUE DATE: <br /> City,State, Code.5tor Y-1 1 t APN /59-v6,a 1'U FEE DUE: <br /> Area Code -Telephone Number !r3 EXP.DATE: DRIVEWAYS: <br /> STREET: / ✓� <br /> SITE INFORMATION: AREA: n QUAD 5S <br /> Parcel Owner's Name: l m P ,,..5 OYM vP TYPE: <br /> Site Address: FORMS: <br /> City,State,Zip Code: NOTES: 71 <br /> Area Code -Teleplwe Number: <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Ate: COMMERCIAL: <br /> City,Stale,Zip Code: INDUSTRIAL: RNV <br /> Area Code -Telephm Number. RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned heresy fcrtg excavate,construct and/or olerwnse encroach on County Hi hwray Right f-Way on the <br /> :ss- _side of c 1` appro)dnately /SO <br /> Of A&A6. AW., by installing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be selMnstatled? YES NO Contractor's License <br /> UPNGOV.ORGISHARE=BfM&SEWCE,%CLERN:R OJB-SV.WKUA rMPSSa40*XlMW PEFUT DRNEWAY'.DOG (10109) Page 1 of 2 <br />