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{ oc COUNTY OF SAN JOAQU#N Date: <br /> DEPARTMENT OF PUL{C WORKS <br /> Received By: <br /> DRFVEWAYS AND PAVE®FRONTAGES <br /> PERMIT APPLICATION CR#: �7 <br /> APPLJCANT OFFICE USE ONLY <br /> Name: <br /> Ate: JOB# 11005 ISSUE DATE: <br /> APN FEE DUE: <br /> Area Code -T EXP.DATE: DRIVEWAYS: <br /> STREET: 40.11N1g }j: <br /> SITE INF ON;' AREA AV AD ArjW " <br /> OmWs Imo;, TYPE: Wol <br /> She Address., FORMS: w <br /> St ,zip Cotte NOTES: <br /> Area Code -T <br /> DRIVEWAY <br /> CONTRA TOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> AddCOMMERCIAL: k. <br /> Ci ,She,a code INDUSTRIAL: @R/W <br /> Area Code -T RESIDENCE: <br /> lreA7 �c>e PAVED FRONTAGE <br /> <44aceLENGTH: Ft. X WIDTH: Ft. <br /> �t <br /> The _ aPpl is avate,construct and/or otherwise encroa�h�County Hi ay Righton the <br /> approximately_ fj <br /> of b. by installing lit/ <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> le POGOV.OR .PWNM0ACt07FP8W DRIVEWAY.DOC (10/09) Page 1 of 2 <br />