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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: r e� To <br />Address: W • - r Yzo <br />Citv, State, Zip Code:c 53 0 <br />Area Code <br />-Tele <br />hone Number. <br />2S <br />sS - 48-l5 <br />DRIVEWAYS: <br />Email: <br />n6vtt-6 mco.5{. n e.} <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />M <br />Mer o Inc tJk Toa a� <br />Site Address: 53168(� Lo- F rr2oal[ <br />City, State, Zip Code: TaA-C4 CA 9S3ocf <br />Area Code -Telephone Number: ciLg l <br />vs LtB <br />Z <br />CONTRACTOR <br />Name: u N P Jiv a ruAc IMc- <br />Address: k 41 f>2 arauri0 <br />ate,State, Zi Code: 'C-scA -o o c 20 <br />Area Code - Telephone Number: joa 0.3%lopt <br />,V <br />Date: I /is lz?_ <br />Received By: 24� <br />CR #: 0 10� (_ 4 D <br />The undersigned hereby applies for permissio to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />side of approximately 778 smile % <br />of er-�itcf , by installing Ari <br />commence on or <br />sheet may be <br />Will this project be self•installed? YES �NO <br />%�ENCROALHI.IEMSlA4 ser Fa,msiemplaleslENtflOACNI.1ENi PERI.IRDRNEWAY.dx )0808) <br />for approximately <br />Contractor's License <br />days. <br />Wark will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN 2fB <br />D749-0ra FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />A <br />AREA: TfRc QUAD Sen/ <br />TYPE: <br />i7W A��raa <br />FORMS: <br />J✓,u� ./7 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />ORM <br />RESIDENCE: <br />X2w <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: <br />FL <br />The undersigned hereby applies for permissio to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />side of approximately 778 smile % <br />of er-�itcf , by installing Ari <br />commence on or <br />sheet may be <br />Will this project be self•installed? YES �NO <br />%�ENCROALHI.IEMSlA4 ser Fa,msiemplaleslENtflOACNI.1ENi PERI.IRDRNEWAY.dx )0808) <br />for approximately <br />Contractor's License <br />days. <br />Wark will <br />