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5.11 00845'0 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Date: `> <br />Received By: jv `� <br />CR #: 070774 <br />APPLICANT <br />JOB #: <br />PN <br />EXP. DATE: <br />STREET: <br />Name: <br />AREA: <br />Address <br />D � CA�LLIEYL 2.oex <br />City, State, Zip <br />Code: (CcA M QO CK <br />SS m <br />A <br />Area Code -Telephone Number: <br />DRIVEWAY <br />TYPE: <br />SITE INFORMATION: <br />QUNTITY <br />Parcel Owner's <br />Name: p \�fj e%r. <br />IK ULAN <br />Site Address: <br />-i °j3D L C D LjL%t fL <br />P.0 P <br />City, State, Zi <br />Code: pct(N "QV c R <br />52x.0 <br />Area Code - Telephone <br />NumberkWo� <br />INDUSTRIAL: <br />CONTRACTOR <br />Name: <br />W N Z <br />Address: a <br />PAVED FRONTAGE <br />LENGTH: <br />City, State, <br />Zip <br />Code: <br />Area Cade -Tele hone Number: <br />Date: `> <br />Received By: jv `� <br />CR #: 070774 <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County Hig�hway Right -of -Way on the <br />f'\u61k1 side of GW A, i t a, "un u approximately timeunme <br />of , by installing IN. C.Ilywt u u NT° i D <br />commence on or <br />for approximately <br />days. <br />SKETCH (Separate sheet may be submitted) <br />m` rx',svtvxl.�t accia,J_,—_- _� _ _ -_-__ 7aaxn�aec a••��u <br />f �S � Gw Gr,oN�rm.GW'� <br />Will this project be self -installed? LYES NO <br />P 1ENLRMLHMEMSlVaslc FamvTarpla�m'ENCRMCHNfNtPERMIT UfMEWAYEw�OBA]B) <br />Contractor's License <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />PN <br />EXP. DATE: <br />STREET: <br />11005 ISSUE DATE: <br />oMi.FEE DUE: <br />p�/Q� <br />DRIVEWAYS: <br />11*2r Avor <br />AREA: <br />eaa Ie QUAD t& <br />TYPE: <br />tJ P414W <br />FORMS: <br />SS m <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUNTITY <br />WIDTHS <br />AGRICULTURE <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />f21W <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 Hig�hway Right -of -Way on the <br />f'\u61k1 side of GW A, i t a, "un u approximately timeunme <br />of , by installing IN. C.Ilywt u u NT° i D <br />commence on or <br />for approximately <br />days. <br />SKETCH (Separate sheet may be submitted) <br />m` rx',svtvxl.�t accia,J_,—_- _� _ _ -_-__ 7aaxn�aec a••��u <br />f �S � Gw Gr,oN�rm.GW'� <br />Will this project be self -installed? LYES NO <br />P 1ENLRMLHMEMSlVaslc FamvTarpla�m'ENCRMCHNfNtPERMIT UfMEWAYEw�OBA]B) <br />Contractor's License <br />Work will <br />