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P3�2100�2?j <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Date: V/ LQZ/ <br />IF <br />Received By: L N <br />CR#: D7028t <br />APPLICANT <br />JOB #: <br />Name: <br />1NJ1;AA <br />APND/iZD20-5r"? <br />FEE DUE: <br />Alit,q� <br />EXP. DATE: <br />CN7 <br />Address: I <br />e4amv 4r <br />City, State, Zi Code: <br />S+bc ko <br />fr <br />`lS Za <br />�J /!b RegcH <br />Area Code -Telephone <br />Number: <br />-Zoti <br />3v <br />50 <br />SITE INFORMATION: <br />DRIVEWAY <br />Parcel Owner's Name: <br />TYPE: <br />QUANTITY <br />= <br />10PQ <br />Site Address: <br />19 b <br />O <br />Ce A- <br />S <br />City, State, Zip Code: <br />Lwe > t d <br />( <br />7L 1 <br />Area Code -Telephone <br />Number: <br />RESIDENCE: <br />CONTRACTOR <br />PAVED FRONTAGE <br />Name: <br />LENGTH: <br />Ft. X WIDTH: <br />Ft. <br />Address: <br />City, State, Zip Code: <br />Area Code -Telephone <br />Number: <br />Date: V/ LQZ/ <br />IF <br />Received By: L N <br />CR#: D7028t <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feeumile <br />of by installing <br />commence on or about <br />for approximately <br />KETCH (Se rate sheet may be sub itted)�� <br />f� <br />�J S <br />1�6>4Z) <br />Will this project be self -installed? YES NO Contractor's License <br />P:IENCHCAGiMEMSWeNr GamsTmpkkalENCRMCHAENI PFAMRMPNEWAY.tloo(OBABI <br />days. <br />PirAIT7111 <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APND/iZD20-5r"? <br />FEE DUE: <br />EXP. DATE: <br />AV DRIVEWAYS: <br />STREET: <br />e4amv 4r <br />AREA: <br />/,6+GCEGAIa QUAD 11E <br />TYPE: <br />�J /!b RegcH <br />FORMS: <br />75 t a <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />R/W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: <br />Ft. <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feeumile <br />of by installing <br />commence on or about <br />for approximately <br />KETCH (Se rate sheet may be sub itted)�� <br />f� <br />�J S <br />1�6>4Z) <br />Will this project be self -installed? YES NO Contractor's License <br />P:IENCHCAGiMEMSWeNr GamsTmpkkalENCRMCHAENI PFAMRMPNEWAY.tloo(OBABI <br />days. <br />PirAIT7111 <br />