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COUNTY OF SAN JOAQUIN Date. _April 25, 2011 <br /> q�))/���, DEPARTMENT OF PULIC WORKS Received BIle <br /> DrRI"AYS AND PAVED FRONTAGES Y <br /> PERMIT APPLICATION CR#: 331161 <br /> Name: Mark O'Brien APPLICANT OFFICE USE ONLY <br /> Address: 5101 Florin Perkins RoadJOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code:Sacramento Californa95826APN 179—SGo-QCFEE DUE: <br /> Area Code -Tele hone Number: 916-381-8EXP.DATE: DRIVEWAYS: <br /> STREET: //u,y p9�.�o�t?Ii�GE 2s <br /> SITE INFORMATION: AREA: , ,./ QUAD <br /> Parcel Owner's Name:Mark O'Brien et al TYPE: <br /> j Site Address: 3303 Carpenter Road FORMS: !7 55 �nJ <br /> City,State,Z't Code:Stockton,California NOTES: <br /> Area Code _Telephone Nu nber. 916-381-8080 �— <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> i Name: Mark III Construction AGRICULTURE: FRONTAGE <br /> Address: 5101 Florin Perkins Road COMMERCIAL: <br /> City,State,Zi Code: Sacramento,California 95826 INDUSTRIAL: R/W <br /> Area Code -Tele hone Number. 916-381-8080 RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> East side of Highway 99 Frontage Road approximately feettmile north <br /> of Intersection of Carpenter Road&Highway 99 Frontage Roadroximat i 172' <br /> by installing Approx. 18'. 24"class III concrete <br /> I wipe. Asphalt at finish grade. <br /> I <br /> i <br /> I <br /> commence on or about Work will <br /> 4112011 for approximately 3 days. <br /> SKETCH(Separate sheet may be submitted) <br /> i <br /> i <br /> I <br /> Will this project be self-installed? YES X NO Contractors License 941726 <br /> M:ICENTRALSERVICESICLERICALIPUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (010) Pa9 a 1 of 2 <br />