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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUL IC WORKS —' <br /> DRNEWVAYS AND PAS FRONTAGES Received By: � <br /> PERWrAPPUCATION CR#: ►5 <br /> APPLICANT OFFICE <br /> Name. &AKK Nj u USE ONLY <br /> Adder: F,04, �" p JOB#: 1100 ISME DATE: <br /> Sf3le, Codi: M Al rS 22 APN -[_ _ FEE DUE. <br /> Area Code -T Number 0 _"1 -Z.S' EXP.DATE: DRIVEWAYS:- <br /> STREET. <br /> RIVE WAYS:STREET. �►� * . <br /> SITE gdFORAAATION: AREA:* QLM - <br /> Parod owe s Name; Kr4 ,uE, TYPE: <br /> Ske Adds: 0 G q D D FOFO&- <br /> ,Ste, Code: L M ENT Crf NOTES. <br /> Aria Code -Tdqftm Number 104'V W7- 2 S <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY V4tlClTHS <br /> Name: N�- -oaf jgSOAI AGRICtILTURE: <br /> AGE <br /> Address: C%A4ERClAL xr <br /> state, Code: C A a <br /> . I <br /> R1W <br /> Areca Code -T Nunes 2B r — RESIDEI+�E: <br /> PAVED FRONTAGE <br /> LENGTH: Ft X W)TH: Ft <br /> The undersigned hmbyappriesjor P + t to excawafe,cons#ruc t and/or otherwise encroach C=*I -il r on the <br /> !!50117w side of 1A & Aep appro3�r <br /> of O'les"/Ac-AAT U. _ by. <br /> commenceon or about Work will <br /> for <br /> SKETCH(Safe sheet may be ted) <br /> VN this project be self4nstded? YES N0 Contractors License <br />