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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />OFFICE USE ONLY <br />Name: <br />ISSUE DATE: <br />APN 403A 314,00/46 <br />FEE DUE: <br />Address: liet.vt� <br />City, <br />State, Zi Code: <br />Lar CA 004-1a <br />ll QUAD A!E <br />TYPE: ZZ✓AO <br />Area Code - <br />Telephone <br />all <br />Number: <br />q <br />SITE INFORMATION: <br />Parcel <br />Owner's <br />Name: <br />QUANTITY <br />Site <br />Address:ffl, <br />City, State, <br />Zi Code: <br />Area Code - <br />TelehoneNumber: <br />05- 5-0j <br />CONTRACTOR <br />Name:Cir' <br />I @FRONTAGE <br />Address: a4,Z <br />City,State <br />ZipCode: r 9 f <br />Area Code - Telephone <br />Number: `Q - 7 0q <br />Date: a23 z/ <br />Received By: rL <br />CR #: 40705/4 <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />side of approximately wvul wile <br />of by installing <br />5EE Am4�.4AC <br />D <br />commence on or about far approximately <br />may <br />Will this project beself-installed9 YES �NO <br />P IENGiOACNMEM54MNw FamTmplalm`f NCPOACNNf NI PERMIT ORNEWAT tloo (Oe.OB� <br />days. <br />Contractor's License � t' �� /� � �i 6 <br />Work will <br />OFFICE USE ONLY <br />JOB #: 11005 <br />ISSUE DATE: <br />APN 403A 314,00/46 <br />FEE DUE: <br />EXP, DATE: <br />DRIVEWAYS: <br />STREET:��s eIg <br />AREA: 14z <br />ll QUAD A!E <br />TYPE: ZZ✓AO <br />R�r�t <br />FORMS: x! <br />all <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RAN <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: Ft, <br />X WIDTH: <br />Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />side of approximately wvul wile <br />of by installing <br />5EE Am4�.4AC <br />D <br />commence on or about far approximately <br />may <br />Will this project beself-installed9 YES �NO <br />P IENGiOACNMEM54MNw FamTmplalm`f NCPOACNNf NI PERMIT ORNEWAT tloo (Oe.OB� <br />days. <br />Contractor's License � t' �� /� � �i 6 <br />Work will <br />