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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Date: o T/ <br />Received By: <br />CR #: 07/21? <br />APPLICANT <br />Name: <br />11005 ISSUE DATE: <br />Address: <br />f <br />Cit ,State, i Code <br />DRIVEWAYS: <br />STREET: <br />"`Wgn6yJAV A%)* <br />AREA: idc"Ocr <br />Area Code -Tele hone Num <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />Site Address: <br />City, State, Zip Code: <br />Area Code - Tele hone <br />r 2 <br />C <br />Number; <br />FORMS: <br />CONTRACTOR <br />Name: <br />Address: <br />City, State, Zip Code: <br />Area Code -Telephone <br />Number: <br />Date: o T/ <br />Received By: <br />CR #: 07/21? <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 feetlmile <br />of , by installing <br />commence on or <br />SKETCH (Separate sheet maybe <br />Will this project be self -installed? YES NO <br />R�fNpiOALHN.EMSWukr FmmeTempWleslEhCROALNN£MPEftMITOftNEWAYEx��eNB1 <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />1'b- 01 FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />"`Wgn6yJAV A%)* <br />AREA: idc"Ocr <br />s.a QUAD "rw <br />TYPE: <br />rcla➢kelt <br />FORMS: <br />go M <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />NDUSTRIAL: <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 />side of approximately feetlmile <br />of , by installing <br />commence on or <br />SKETCH (Separate sheet maybe <br />Will this project be self -installed? YES NO <br />R�fNpiOALHN.EMSWukr FmmeTempWleslEhCROALNN£MPEftMITOftNEWAYEx��eNB1 <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />