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COUNTY OF SAN JOAQUIN Date: 4/13/2020 <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: RAFAEL MARTINEZ <br />Address: 470 PALM CIR. <br />City, State, Zip Code: TRACY, CA 95376 <br />Area Code - Telephone Number: 202-597-2797 <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />Site Address: 4347 W. CALIFORNIA AVE. <br />City, State, Zip Code: 95304 <br />Area Code - Telephone Number: <br />DRIVEWAYS: <br />CONTRACTOR <br />Name: <br />Address: <br />City, State, Zip Code: <br />Area Code -Telephone Number: <br />Received By: Sc <br />067958 <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />NORTH side of CALIFORNIAAVE. approximately 1650feet/mile SOUTH <br />of CANAL BLVD. TRACY , by installing DRIVEWAY APPROACH <br />commence on or about <br />may <br />for approximately <br />Will this project be self -installed? YES NO Contractor's License <br />P.�ENCROACHMEN(SMasta iamsTmpNbs�ENCROACHA�EMPERMRORNEWAYdoo�00100) <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APIN <br />213-180-52 FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />CALIFORNIAAVE. <br />AREA: <br />TRACY QUAD SW <br />TYPE: <br />DRIVEWAY APPROACH <br />FORMS: <br />SS/WW, R-17 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ <br />RM/ <br />RESIDENCE: <br />X1 <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: <br />Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />NORTH side of CALIFORNIAAVE. approximately 1650feet/mile SOUTH <br />of CANAL BLVD. TRACY , by installing DRIVEWAY APPROACH <br />commence on or about <br />may <br />for approximately <br />Will this project be self -installed? YES NO Contractor's License <br />P.�ENCROACHMEN(SMasta iamsTmpNbs�ENCROACHA�EMPERMRORNEWAYdoo�00100) <br />days. <br />Work will <br />