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COUNTY OF SAN JOAQUIN Date: f 25" 13 <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: e97-SS_ <br /> APPLICANT OFFICE USE ONLY <br /> Name: S Z-Lel <br /> Address: 2iS z5 eto L� SC-e I JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: c&-1jZol/&- APN D,$3 /Z FEE DUE: <br /> Area Code -Telephone Number' 99 - 3 c 3-6 yZ EXP.DATE: DRIVEWAYS: <br /> STREET: �LE,✓hgrJ <br /> SITE INFORMATION: AREA: // QUAD <br /> Parcel Owner's Name: LLC TYPE: <br /> Site Address: /" zs' s FORMS: X/ <br /> City,State,Zip Code: L e NOTES: <br /> Area Code -Telephone Number: `763_ '90 -SSS 7 <br /> DRIVEWAY <br /> - -- -- CONTRACTOR- - TYPE= - - -----QUANTITY -- - - --- WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: RM <br /> Area Code -Telephone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The ndersigned hereby applie for permission to excavate,construct and/or otherwise encroach on County H%eiLy Right-of-Way on the <br /> side of X9771.6"14 tit 1�,4r/E approximately 2odt� <br /> of -271LL y AP by installing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? // YES NO Contractor's License <br /> M:ICENTRALSERVICESICLERICALIPUB-SV.WKIMASTER-PSIENCROACHMENf PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />