Laserfiche WebLink
1101, 4 <br />411 <br />Pe <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: Gurpreet Judge <br />Address: 3505 E Eight Mile Rd <br />City, State, Zip Code[ Stooklan, CA 95212 <br />Area Code -Telephone Number: 916-71)8-8275 <br />SITE INFORMATION: <br />Parcel Owner's Name: GurpreetSingh Judge and GagandeepKaurJudge <br />Site Address: 3605 E Eight Mile Rd <br />Citv, State, Zip Code: Stmidoo, CA 95212 <br />Area Code - Telephone Number: 916-705-6275 <br />CONTRACTOR <br />Name: <br />Address: <br />City, State Zip Code: <br />Area Code - Telephone Number: <br />Date: 7 a?JC 0?0 <br />Received By: <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Hi ay Right -of -Way on the <br />West side of Mlcke Grove Road approximately P 1)10 feeile � ilnr4 <br />of Eight Mile Road , Lodi, CA , by installing a driveway entrance to my property <br />commence on or about Oct s <br />for approximately <br />days. <br />Work will <br />SKETCH (Separate sheet may be submifte y <br />.� Sf4-NINA <br />c1r��aaXrU, <br />�J <br />I 1)L <br />I <br />I V <br />Will this project be self -installed? x YES NO <br />PUW0ACHMENrSA 1W`.J.,IpHlee,ENCROACHWNT K MITORAWAYtl (OW) <br />Contractor's License <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />Q FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />mia* 600& AD <br />AREA: <br />Lobi QUAD y <br />TYPE: <br />DW Ai1o�1 <br />FORMS: <br />e✓� <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />R/W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Hi ay Right -of -Way on the <br />West side of Mlcke Grove Road approximately P 1)10 feeile � ilnr4 <br />of Eight Mile Road , Lodi, CA , by installing a driveway entrance to my property <br />commence on or about Oct s <br />for approximately <br />days. <br />Work will <br />SKETCH (Separate sheet may be submifte y <br />.� Sf4-NINA <br />c1r��aaXrU, <br />�J <br />I 1)L <br />I <br />I V <br />Will this project be self -installed? x YES NO <br />PUW0ACHMENrSA 1W`.J.,IpHlee,ENCROACHWNT K MITORAWAYtl (OW) <br />Contractor's License <br />