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FEti, a COUNTY OF SAN JOAQUIN <br /> 05-I Z°DZ6 DEPARTMENT OF PULIC WORKS Date: <br /> DRIVEWAYS AND PAVED FRONTAGES Received By. <br /> PERMIT APPLICATION CR#: 4152 <br /> At Pt tCANT OFFICE USE ONLY <br /> Name:�' �,� �- <br /> Address:1 d3 c , f OL1717 JOB#: <br /> Cit ,State,Zi Code: C q j'Z 0 APN 11005 ISSUE DATE: <br /> Area Code -Tole hone Number: ��q- I�F6-u FEE DUE: <br /> 2 9 EXP.DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: -�c,�y,�N (QUAD ''S <br /> Parcel Ovrner's Name: P C 4 E TYPE. ' <br /> Site Address: 37 fo r,k L N E FORMS: i <br /> Ci!),State,Zip Code: e cI 2 9 6 NOTES: :/7 <br /> Area Code -Tele hone Number. <br /> CONTRACTOR DRIVEWAY <br /> TYPE: QUANTITY <br /> Name: j -j L �, AGRfCULTURE: WIDTHS <br /> Address: 1 Z c 144I- o COMMERCIAL: @FRONTAGE <br /> Cit ,State,4 Code: c _r o INDUSTRIAL: <br /> Area Code -Tele hone Number:7 13 -5-�g._b60D RESIDENCE: @ � <br /> PAVED FRONTAGE <br /> LENGTH: Ff. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County HI hway Right-of-Way on the , <br /> iEp-ST sideof Pani- Lf-L,vF" 37--� approximately Zee- Y <br /> of 1 ee ile <br /> AkFr-t Al <br /> 2P /V� by ialNn��o v�i� r� E�v� i►ix� 4�s' <br /> f aES -S.r a Z -xNJ ti VAf s— �L <br /> o -IS <br /> commence on or about 0.2/06 12 for approximately 2 p Work VAII <br /> days. <br /> SKETCH{Separate sheet may be submiitedj <br /> 016p ire s y e s Tri r-ro.,ti <br /> Will this project be self-installed? YES NO Contractor's License �f✓/Ul�ft° l #2061 <br /> YMONAS A TEM-PLATES'aMOWitlar PFFPX MWWAUX <br />