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+_ COUNTY OF SAN JOAQUIN <br />V v �� ©� AoQ, (pPWARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Received By: l_ <br />CR #: d7L4 1� <br />AP 1CANT <br />Name: E <br />OC <br />Address: <br />IS7— i3o-Zco FEE DUE: <br />v ' <br />DRIVEWAYS: <br />city, State, Zip Co e: <br />aw 'A q452,os <br />Area Code • Telephone <br />Number: <br />TYPE: <br />yw pPMAcco <br />SITE INFORMATION: <br />Ss w.Joeo17 <br />NOTES: <br />Paroel Owner's Name: <br />DRIVEWAY <br />Site Address: <br />TYPE: <br />w <br />City, State, Zip Code: <br />o rC o <br />Area Code -Telephone <br />Number: c <br />AGRICULTURE: <br />CONTRACTOR <br />Name: <br />Address: <br />COMMERCIAL: <br />City, State, Zip Code: <br />Area Code - Telephone <br />Number: <br />Received By: l_ <br />CR #: d7L4 1� <br />The undersigned hereby applies for permission to excavate, constmct andlor otherwise encroach on County Highway Right -of -Way on the <br />North side of GuemseyAve. approximately 500 feetlmile West <br />of S. Netherton Ave. , by installing <br />commence on or <br />sheet may be <br />Will this project be selfinstalled? �ES NO <br />P]ENgt WGNAIEMSVksbr FamsTaimkbs�ENCHWGIAEM PEMR CflIYEWRYtloo �OegBl <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB M <br />11005 ISSUE DATE: <br />APN <br />IS7— i3o-Zco FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />4 uad %fw A✓E4 <br />AREA: <br />!ftCA V QUAD t^S <br />TYPE: <br />yw pPMAcco <br />FORMS: <br />Ss w.Joeo17 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RNV <br />RESIDENCE: <br />eC <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: <br />Ft. <br />The undersigned hereby applies for permission to excavate, constmct andlor otherwise encroach on County Highway Right -of -Way on the <br />North side of GuemseyAve. approximately 500 feetlmile West <br />of S. Netherton Ave. , by installing <br />commence on or <br />sheet may be <br />Will this project be selfinstalled? �ES NO <br />P]ENgt WGNAIEMSVksbr FamsTaimkbs�ENCHWGIAEM PEMR CflIYEWRYtloo �OegBl <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />