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� 22o0j(A <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />OFFICE USE ONLY <br />Name: <br />JOB #: <br />Address: g0740 or, F✓Lr/t.1. <br />City, State, Zip Code: <br />oil- j9o-31 FEE DUE: <br />Area Code - Tele <br />p hone Number: zd 1 <br />^ 6 4 3 -3 7 <br />Email: <br />STREET: <br />?L6T/i(L 12a. <br />SITE INFORMATION: <br />AREA: <br />Parcel Owner's Name: <br />Site Address: ?070 e c <br />y1w /QO c(d <br />City, State, Zip Code: o <br />SZz� <br />Area Code -Telephone <br />Number: 20 <br />; 7,w7 32V <br />CONTRACTOR <br />DRIVEWAY <br />Name: <br />POA .ce.�....a ,,..1 <br />Address: So S. Sfec k a4n.- fa`. <br />Cit , State, Zi Code: [-o T <br />9S'z-%Po <br />Area Code <br />-Telephone Number: <br />7.ol <br />w7Yo7m-ofrcq <br />Date: / a 22 <br />Received By: R <br />LT <br />cR#: 4,7M0 <br />The undersi need hereby applies for permission to excavate, construct andlor otherwise encroach on County way Right -of -Way on the <br />side of - approximately ee He <br />ofGEctda C idrywha✓ grv+pr+-a��ci^�r- byinstalling Ae P,Ps ro— s <br />A^rormwo <br />Work will <br />commence on or about t Zoz-"+— for approximately ' j days. <br />SKETCH (Separate sheet maybe submitt <br />ed) <br />J �F-�'TIEi'�- 12oA O <br />T� ecz <br />t r i <br />t1law two <br />)(wEoEl <br />Will this project beself-installed? AYES NO <br />XIENCROACH MEMSU W ler iamaTertyalealENCft W CHAT M PEHA91 HHNEWAY dao (RNB) <br />Contractor's License <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />oil- j9o-31 FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />?L6T/i(L 12a. <br />AREA: <br />AecAMrOo QUAD At 19 <br />TYPE: <br />y1w /QO c(d <br />FORMS: <br />,Q. 17 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RNV <br />RESIDENCE: <br />OC <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: <br />Ft. <br />The undersi need hereby applies for permission to excavate, construct andlor otherwise encroach on County way Right -of -Way on the <br />side of - approximately ee He <br />ofGEctda C idrywha✓ grv+pr+-a��ci^�r- byinstalling Ae P,Ps ro— s <br />A^rormwo <br />Work will <br />commence on or about t Zoz-"+— for approximately ' j days. <br />SKETCH (Separate sheet maybe submitt <br />ed) <br />J �F-�'TIEi'�- 12oA O <br />T� ecz <br />t r i <br />t1law two <br />)(wEoEl <br />Will this project beself-installed? AYES NO <br />XIENCROACH MEMSU W ler iamaTertyalealENCft W CHAT M PEHA91 HHNEWAY dao (RNB) <br />Contractor's License <br />