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- COUNTY OF SAN JOAQUIN Date: -6?-10 Zol 'Z_ <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> Ccu( ti ftG+:M.P PERMIT APPLICATION CR#: O CI do� <br /> APPLICANT_ OFFICE USE ONLY <br /> Name: WTrr4yVk, A( <br /> Address: JOB#: 11005 ISSUE DATE: <br /> City, State,Zip Code: L! -63 7 APN %05-0710-2p FEE DUE: <br /> Area Code -Telephone Number X3--Q EXP.DATE: DRIVEWAYS: <br /> STREET: wy-,r'p QVr <br /> SITE INFORMATION: AREA: Ll <br /> Parcel Owner's Name: Fmylk, 5;.t i►rye. TYPE: <br /> Site Address: r'SS g FORMS: <br /> City,State,Zip Code: pC h Z NOTES: <br /> Area Code -Telephone Number:kO q — z3 —9-741 <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: S AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: @ R/W <br /> Area Code -Telephone Number: 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 /> side of V2 approximately C)` eft mile WA-tg--F— <br /> of by installing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> y�Will this project be self-installed? I/ YES NO Contractor's License <br /> %\SJPWGOV.ORGISHARESICENTRALSERVICESICLERICALIPUB-SV.WKWIASTER.PSIENCROACHMENTPERMITDRIVEWAY.DOC (10109) Page 1of2 <br />