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-�Zwaa3 / <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Dale: <br />ReceiveddBy: Lam_ <br />CR#: P!i%&?;,A <br />APPLICANT <br />JOB #: <br />Name. CW,nchlo% <br />Fcr r;n Co <br />EXP. DATE: <br />Address: 10W A)• <br />t <br />At . q <br />City, Slale, Zip Code: <br />i 'A <br />TYPE: <br />Area Code -Telephone <br />Number: - <br />g - 3 <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />5,3ji&7o5 A'r <br />WO/0 <br />Site Address:LQ <br />QUANTITY WIDTHS <br />AGRICULTURE: <br />ora11 <br />�o <br />Cit , Slate, Zi Code: Lod, <br />CA. <br />@ RIW <br />Area Code - Telephone <br />Numbe . <br />6 i? -61 <br />3 <br />CONTRACTOR <br />LENGTH: <br />Name: <br />l� <br />P <br />Address: <br />City, State, Zip Code: <br />Area Code - Telephone <br />Number: <br />Dale: <br />ReceiveddBy: Lam_ <br />CR#: P!i%&?;,A <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />5c0k side of / l44`/er RJL approximately G2�rJ feet/mile comas f <br />6f / n_ , a r !, rr�aWii fe , bY-in6wmg A 'i r i ✓e "Acca <br />commence on or about <br />for approximately <br />days. <br />Work will <br />rvvuca0acrnaurrsvwex ivm,r,npar�EllCaoacmlErrt ffarAn owvEwavas 1�1 <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN d3% O-Zo FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: �16TAE66 <br />/8 --- <br />AREA: %Di <br />QUAD .✓A7 __-- <br />TYPE: <br />FORMS: <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY WIDTHS <br />AGRICULTURE: <br />vlel I @FRONTAGE. <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RIW <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />5c0k side of / l44`/er RJL approximately G2�rJ feet/mile comas f <br />6f / n_ , a r !, rr�aWii fe , bY-in6wmg A 'i r i ✓e "Acca <br />commence on or about <br />for approximately <br />days. <br />Work will <br />rvvuca0acrnaurrsvwex ivm,r,npar�EllCaoacmlErrt ffarAn owvEwavas 1�1 <br />