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k <br />El <br />k <br />ef5; 2ocrfr lA <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: KG' <br />Address: • P✓J x 7 <br />City, State, Zip Code: ,R /17CBVI V <br />Area Code - Telephone Number: <br />SITE INFORMATON: <br />Parcel Owner's Name: x / <br />Site Address: / W, <br />City, State, Zip Code:yatG <br />Area Code - Telephone Numb . <br />CONTRACTOR <br />Name: <br />Address: <br />City,State, Zip Code: ' <br />Area Code -Telephone Number: <br />The upcersigned hereby <br />//9.rfW side of <br />of _�iScn <br />commence on or <br />SKETCH (Separate sheet may <br />Date: & g lv <br />Received By, <br />CR#: Dlok327 <br />construct and/or otherwiseencroach on County Hi ay Right -of -Way on the <br />approximately co fe rtAle FRST <br />, by installing <br />for approximately <br />Will this project be self -installed? YES NO Contractor's License <br />KWNMANIEWSWadarFm sTew'a1asTNM0ACNAINR PMKU DWMAYd (=a) <br />Work will <br />OFFICE USE ONLY <br />JOB M <br />11005 ISSUE DATE: <br />APN <br />70Q- /,O..;L 3 / FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />,/Q /eo60 <br />AREA: <br />Rl� QUAD <br />TYPE: <br />y 4A 0 a e r -N <br />FORMS: <br />5 yrs i l7 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RAN <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: Ft. <br />construct and/or otherwiseencroach on County Hi ay Right -of -Way on the <br />approximately co fe rtAle FRST <br />, by installing <br />for approximately <br />Will this project be self -installed? YES NO Contractor's License <br />KWNMANIEWSWadarFm sTew'a1asTNM0ACNAINR PMKU DWMAYd (=a) <br />Work will <br />