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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: <br />S.A.0 Inc <br />Address: P.O.Box1404 <br />City, State, Zip Code: Hughson CA 95326 <br />Area Code - Tele <br />hone Number; <br />209-542-7018 <br />Email: <br />dave@saFlncorporated.com <br />SITE INFORMATION: <br />Parcel Owner's <br />Name: <br />Brian Hill <br />Site Address: 22044 Henry Rd <br />City, State, <br />Zip Code: <br />Escalon CA 95320 <br />Area Code -Telephone <br />W e-1` <br />Number: <br />. ) ofz .j9 <br />CONTRACTOR <br />Nams: SAC Inc <br />Address:P.O.Box <br />1404 <br />Clt ,State, Zi Code: Hughson CA 95326 <br />Area Code Telephone <br />Number: 209-542-7018 <br />Date: 08/31/2022 gh_stlo� <br />Received By: I,#� <br />CR#:0-lKIIA <br />The undersigned hereby applies for permission to excavate, construct andl0r otherwise encroach on County Highway Right -of -Way on the <br />west side of Henry Rd approximately 75 feeUmile Feet <br />Of by installing <br />Intal[ new asphalt drive way per San Joaquin County Standards. <br />Work <br />commence on orallOut s/8/2022 for approximately 4 days. <br />sheet may <br />Install new ddve way asphalt per San Joaquin County Standards <br />Vt911 this project be self-installod7 x YES NO Contractor's License <br />x.�sxcaoaorcasmsua,w� r�.r�cm„srconoaa��rc Pewxr oamsanv e� marol <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN 4A.13tD-D6 <br />FEE DUE: <br />EXP, DATE: <br />DRIVEWAYS: <br />STREET: <br />4y S No-nry RI <br />AREA: C! <br />QUAD <br />TYPE: D <br />W e-1` <br />FORMS: Sal <br />. ) ofz .j9 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />I AFRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />Q <br />R/W <br />RESIDENCE: <br />✓ <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: <br />Ft. <br />The undersigned hereby applies for permission to excavate, construct andl0r otherwise encroach on County Highway Right -of -Way on the <br />west side of Henry Rd approximately 75 feeUmile Feet <br />Of by installing <br />Intal[ new asphalt drive way per San Joaquin County Standards. <br />Work <br />commence on orallOut s/8/2022 for approximately 4 days. <br />sheet may <br />Install new ddve way asphalt per San Joaquin County Standards <br />Vt911 this project be self-installod7 x YES NO Contractor's License <br />x.�sxcaoaorcasmsua,w� r�.r�cm„srconoaa��rc Pewxr oamsanv e� marol <br />