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COUNTY OF SAN JOAQUIN Date: ? 11W /206 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR.# Cj :5 5I D0 <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> Ornin layr e✓ JOB#11005 ISSUE DATj <br /> Name J APN )Z,2 - o4d- DSI FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> l / Address STREET WALGE2 ,ED• <br /> AREA QUAD <br /> City,State-Zip Code TYPE 1� <br /> FORMS_§5§5 wcu, A'�-' r 7 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION YeS <br /> Parcel Owner's Name <br /> 44/4 r Address <br /> ' DRIVEWAY <br /> \ ty,State-Zip Code TYPE QUANTITY. WIDTHS <br /> S�� ' AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ RAV <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the cr elAh side of__W&AL <br /> approximately 90o ee /mile Ps of <br /> City,State-Zip Code �.... 1N 49hn'1 /2Q; <br /> I ,by installing <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AacessTer AppTormOrivewayPaved frontage <br />