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5-ai494u3 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Received By: <br />CR #: 107 3 36PS� <br />APPLICANT <br />JOB #: <br />Name: <br />APN ®43-370- O FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />L rK <br />ri <br />AvP <br />City, State, Zip Code: 5 <br />H <br />LS - <br />Area Code -Telephone Number: I O <br />-dd <br />Email: <br />DRIVEWAY <br />SITE INFORMATION: <br />QUANTITY <br />Parcel Owner's Name: 'Rv <br />AGRICULTURE: <br />Site Address: ULA l <br />v L U <br />n <br />City, State, Zip Coder <br />cK JM w <br />0.S2L ` <br />Area Code - <br />Tele <br />hone <br />Number: <br />OD p <br />-ao <br />CONTRACTOR <br />RESIDENCE: <br />Name: <br />PAVED FRONTAGE <br />Address: <br />Ft, X WIDTH: Ft. <br />City, State, Zip Code: <br />Area Code - Telephone Number: <br />Received By: <br />CR #: 107 3 36PS� <br />The unders)J'gned hereby applies fo�rA pe;missior� to excavate, construct andlor otherwise encroach on County Hi ay Right -of -Way on the <br />side of I approximately l25 a He.zmcrf <br />of Ajolfeevir AVW4 oek on , by installing <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />See a}}aGl..evt <br />Will this project be self -installed? <br />%IENgYOACNMENl5lWala FumsienphW�EhCRMCNAEMPERlAt UflNEWAY.tloo�0&O8) <br />for approximately <br />NO Contractor's License <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN ®43-370- O FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />L rK <br />AREA: <br />n QUAD <br />TYPE: <br />FORMS: <br />, /7 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RAN <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The unders)J'gned hereby applies fo�rA pe;missior� to excavate, construct andlor otherwise encroach on County Hi ay Right -of -Way on the <br />side of I approximately l25 a He.zmcrf <br />of Ajolfeevir AVW4 oek on , by installing <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />See a}}aGl..evt <br />Will this project be self -installed? <br />%IENgYOACNMENl5lWala FumsienphW�EhCRMCNAEMPERlAt UflNEWAY.tloo�0&O8) <br />for approximately <br />NO Contractor's License <br />days. <br />Work will <br />