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k <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />OFFICE <br />USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />Name: /} <br />A/ IA i, <br />EXP. DATE: <br />Address: <br />City, <br />State, <br />Zip Code: I G434 <br />Area Code -Telephone <br />Number: <br />SITE INFORMATION: <br />Parcel <br />Owner's Name: :Z7AR144vL. S'• L041. <br />Site <br />Address: <br />DRIVEWAY <br />a_94 gLFo <br />Cil ,Slate, ZipCo <br />e: <br />Area Code <br />-Tele <br />hone <br />umber: <br />WIDTHS <br />h _F, v v fkAV Li"Y 1 jG�Y(�n ti <br />CONTRACTOR <br />Name: <br />Address: <br />City, <br />State, <br />pe <br />Zip <br />Code: <br />Area Code <br />- <br />Telephone <br />Number: <br />Date; �;? 1 tA0 <br />Received By: $e <br />CR #: �lpMYA9 <br />The undersigned hereby applie for permission to excavate, construct andlor otherwise encroach on County Hi ay Right -of -Way on the <br />1,46*r side of A2Ls9/J 2b, approximately 290 as ileda— <br />of F79& J' cA A4 P RD, by installing <br />commence on or about <br />may <br />X Will this project beself-Installed? _YES NO Contractor's License <br />r�ncnonca+Einsuni„ram�.romm.¢i,ciwciucnr rEnnv nnrvnvnv,� �ornvr <br />Work will <br />OFFICE <br />USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />1220 -07 FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />AREA: <br />04MP QUAD 6 <br />TYPE: <br />FORMS: <br />H! ./ <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />pe <br />I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@R/W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, <br />X WIDTH: <br />Ft, <br />The undersigned hereby applie for permission to excavate, construct andlor otherwise encroach on County Hi ay Right -of -Way on the <br />1,46*r side of A2Ls9/J 2b, approximately 290 as ileda— <br />of F79& J' cA A4 P RD, by installing <br />commence on or about <br />may <br />X Will this project beself-Installed? _YES NO Contractor's License <br />r�ncnonca+Einsuni„ram�.romm.¢i,ciwciucnr rEnnv nnrvnvnv,� �ornvr <br />Work will <br />