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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Dater - C, C112,1107.7 <br />Received By: 24 <br />CR #: OlS 114 <br />APPLICANT <br />JOB M <br />Name: <br />D L6 wS 1 /L i0(PC dt <br />O– se FEE DUE: <br />Address: <br />0 hlbkv jddl? <br />STREET; <br />City, State, Zip Code: WOO 066;1 04 lt� !�"i <br />2 j( i� <br />Area Code -Telephone <br />Number: <br />Email: <br />w �Cj1y <br />SS <br />NOTES: <br />–11 <br />SITE INFORMATION: <br />Parcel Owner's <br />Name: 4'd,411'CL I.Y17OoJ <br />Site Address: <br />AGRICULTURE: <br />City, State, Zip Code: d , Lq- "i'i2 <br />Z <br />Area Code - Tele <br />hone Number: <br />CONTRACTOR <br />INDUSTRIAL: <br />Name: %5 <br />t'_. A4 4eCi L tL <br />RM <br />Address: <br />City, State, <br />Zip Code: <br />Area Code - Telephone Number: <br />Ft, X WIDTH: <br />Dater - C, C112,1107.7 <br />Received By: 24 <br />CR #: OlS 114 <br />The undersigned hereby applies Tor permission to excavate, construct and/or otherwise encroach on County Highway Righ�t-of-Wa on the <br />Sd J N1 sl a of approximately 4 a lL feetlmile eAwl <br />of �ByCv( ell , by installing <br />K�LAI r — -{p Sc1' Fr OF ( S✓/ ,A-t_r ( t�ZiJ �nln_�I <br />Work will <br />commence on or about ` �vt,/1 d� for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self -installed? YES NO <br />XIENCAOACNNfMSWasmr FamaiwrPlalwlENC0.0ACHAEIRPE0.00, NNVEWAY.tloo�O0N0� <br />Contractor's License <br />OFFICE USE ONLY <br />JOB M <br />11005 ISSUE DATE: <br />APN <br />O– se FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET; <br />ee R� <br />AREA: 8 �a.n <br />n QUA6 ItAna <br />FORMS: <br />w �Cj1y <br />SS <br />NOTES: <br />–11 <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RM <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: <br />Ft. <br />The undersigned hereby applies Tor permission to excavate, construct and/or otherwise encroach on County Highway Righ�t-of-Wa on the <br />Sd J N1 sl a of approximately 4 a lL feetlmile eAwl <br />of �ByCv( ell , by installing <br />K�LAI r — -{p Sc1' Fr OF ( S✓/ ,A-t_r ( t�ZiJ �nln_�I <br />Work will <br />commence on or about ` �vt,/1 d� for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self -installed? YES NO <br />XIENCAOACNNfMSWasmr FamaiwrPlalwlENC0.0ACHAEIRPE0.00, NNVEWAY.tloo�O0N0� <br />Contractor's License <br />