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�j- 562?ZZ COUNTY OF SAN JOAQUIN Date: to li l3 <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> Pl r "J/PJDRIVEWAYS AND PAVED FRONTAGES <br /> CALL Fa PERMIT APPLICATION CR#: P44N27 <br /> APPLICANT OFFICE USE ONLY <br /> Name: ✓` C ,H L <br /> Address: 2/ 5 b S ,�- He, J JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: C,,A1 S Z 3 t APN 105,7.26_/S FEE DUE: <br /> l Area Code -Telephone Number: Zo9— _7­93 6rD EXP.DATE: DRIVEWAYS: <br /> STREET: / <br /> SITE INFORMATION: AREA: QUAD ,(I6 <br /> Parcel Owner's Name: c,,-e TYPE: <br /> Site Address: Z / 5 v r, ,j plc, FORMS: <br /> Cit ,State,Zip Code: 6,1-de, eA q S J,J G NOTES: <br /> Area Code -Telephone Number: Z - ?O'd <br /> DRIVEWAY <br /> CONTRACTOR - -- - -TYPE.------ ---- - --QUANTITY -- -- WIDTHS <br /> Name: 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 perm'ssion to excavate,construct and/or otherwise engrpach on County Hi ay Right-of-Way on the <br /> � <br /> 50tIside of /l lS approximately 4 fe mile G�CSi <br /> of f'i/lE lez. ZZA JP_CV ,by installing <br /> 6Q1,Ae_A_9)LA61, 210 EST' D. L✓ - J7 <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:ICENTRAI-SERVICESICLERICAI.IPUS-SV.WK\MASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page t of 2 <br />