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COUNTY OF SAN JOAQUIN Date: <br /> 14 DEPARTMENT OF PULIC WORKS <br /> 1 Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#:��'J/�O <br /> APPLICANT OFFICE USE ONLY <br /> Name: WOILAVVolxki <br /> Address: P, 0 2Df2, S 1 ----7 JOB#: 11005 ISSUE DATE: <br /> ' <br /> City,State,Zip Code: '5 to C 4 ` aU '' APN -35— FEE DUE: <br /> Area Code -Telephone Number:(Poc, D EXP. DATE: DRIVEWAYS: <br /> STREET: AAl <br /> SITE INFORMATION: AREA: d d QUAD <br /> Parcel Owner's Name: Sto,_�tgv) 6c,.� Wc,�w •tT i TYPE: <br /> Site Address: "7 -_ Nloc;h S�, FORMS: 19X <br /> City,State,Zip Code: St-oeL-t, NOTES: <br /> Area Code -Telephone Number: <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City, State,Zip Code: INDUSTRIAL: @ RNV <br /> Area Code -Telephone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> T^hq undersigned hereby applies for permission to excavate,construct and/or otherwise enproach on County H' ay Rig t-of-Way on the <br /> 'VoV A-k side of /"�Iva approximately U ee ile c1g51-' <br /> of StQ�kk� -D Jcr I IC—, StaL Lt-o•-� .('A byinstalling z ,., ro,/-I, <br /> Dr,vc, w�,;,, �.5 Co r�c,�icyi e,�n-Frr L- <br /> Work will <br /> commence on or about 5&pfe,�bW "- c d IZZ for approximately 441 C_) days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> PSJPWGOV.ORGISHARES%CENTRALSERVICESICLERICAUPUBSV.WKWASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DDC (10/09) Page 1 of 2 <br />