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yg_OL IDza33 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Date: 11/1517,07.1 <br />Received By: %iplo— <br />CR#: 6 1 241 q7 <br />APPLICANT <br />JOB #: <br />APIN 'L291 <br />EXP. DATE: <br />STREET: 317-q0 <br />Name'IFaOMF <br />AREA: Esaalen QUAD $g <br />TYPE: 9a AMAVACN <br />FORMS: ss ww 1 <br />NOTES: <br />U (LLE <br />Address:r"SSIF9 <br />QUANTITY <br />VL) <br />City, State, Zi Code: <br />0 N <br />AGRICULTURE: <br />FRONTAGE <br />Area Code - Telephone <br />Number: <br />INDUSTRIAL: <br />9Y <br />b 3 <br />RIW <br />SITE INFORMATIO <br />K <br />Parcel Owner's Name: , <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />U <br />Site Address: <br />City, State, Zip Code: <br />Area Code -Telephone <br />Number: <br />CONTRACTOR <br />Name:9kI,LQM <br />Address: <br />City, State, Zip Code: <br />Area Code -Telephone <br />Number: <br />Date: 11/1517,07.1 <br />Received By: %iplo— <br />CR#: 6 1 241 q7 <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County ay Right -of -Way on the <br />r�deof nvmtwEE2 ,Y0 approximately 8%� /� <br />_ el ile IJEs? <br />of �4Mty 2D.4seA" rl by installing <br />commence on or about <br />for approximately <br />SKETCH (Separate sheet may be submitted) <br />�OSSI�l2 R -D . <br />I <br />I <br />Zoll � <br />Will this project be self -installed? ✓YES <br />NO Contractor's License <br />P:1ENpY�AG1ME1rt5Mesk,Fwm+-Templalae�EtICROACNIkMPERMR ORNEWAT.tlov�WNB) <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />APIN 'L291 <br />EXP. DATE: <br />STREET: 317-q0 <br />11005 ISSUE DATE: <br />-200-1)a FEE DUE: <br />DRIVEWAYS: <br />E Ae51 Gr Q <br />AREA: Esaalen QUAD $g <br />TYPE: 9a AMAVACN <br />FORMS: ss ww 1 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RIW <br />RESIDENCE: <br />K <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 ay Right -of -Way on the <br />r�deof nvmtwEE2 ,Y0 approximately 8%� /� <br />_ el ile IJEs? <br />of �4Mty 2D.4seA" rl by installing <br />commence on or about <br />for approximately <br />SKETCH (Separate sheet may be submitted) <br />�OSSI�l2 R -D . <br />I <br />I <br />Zoll � <br />Will this project be self -installed? ✓YES <br />NO Contractor's License <br />P:1ENpY�AG1ME1rt5Mesk,Fwm+-Templalae�EtICROACNIkMPERMR ORNEWAT.tlov�WNB) <br />days. <br />Work will <br />