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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />r <br />Date: s Z/ <br />Received By: 5C <br />CR#: o9ltl3 <br />APPLICANT <br />Name: <br />1 I OLY1 <br />JOB #: <br />Address: <br />742 W nvct <br />City, State, <br />Zip Code: <br />FEE DUE: <br />SL <br />Area Code <br />- Tele hone Number: <br />STREET: <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />AREA: Foeiuu+ <br />ugMP <br />QUAD <br />TYPE: AJ Il <br />Site Address: Z <br />r <br />City, State, <br />Zip Code: r' <br />NOTES: <br />Area Code <br />- Tele hone Number: <br />DRIVEWAY <br />CONTRACTOR <br />Name: <br />QUANTITY <br />AT <br />City, State, <br />Zip Code: <br />Area Code <br />- Tele hone Number: <br />r <br />Date: s Z/ <br />Received By: 5C <br />CR#: o9ltl3 <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 feet/mile <br />of , by installing <br />Work wm <br />commence on or about for approximately days. <br />P:�ENCRDACHNFMSWas�e, FwmaTempbles�ENCRWCHA�fMPERAUt DRIVEWAY Eoc(OBNe� <br />OFFICE <br />USE ONLY <br />JOB #: <br />11005 <br />ISSUE DATE: <br />APN <br />Z"p &'7 <br />FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />AREA: Foeiuu+ <br />ugMP <br />QUAD <br />TYPE: AJ Il <br />FORMS: <br />A='17 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RAN <br />RESIDENCE: <br />K <br />PAVED <br />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 feet/mile <br />of , by installing <br />Work wm <br />commence on or about for approximately days. <br />P:�ENCRDACHNFMSWas�e, FwmaTempbles�ENCRWCHA�fMPERAUt DRIVEWAY Eoc(OBNe� <br />