Laserfiche WebLink
f!J, ;Joo 3451 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS Date: /t)/zq Ρο <br />Received By: __ tι,J ___ _ DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICA ΤΙΟΝ <br />APPLICANT Name: Chris' Mobile Home Service Address: 2303 W. Atherton Dr. JOB#: City, State, Ζίp Code: Manteca CA 95337 ΑΡΝ Area Code -Telephone Number: 209-823-9490 ΕΧΡ. ΟΑΤΕ: STREET: SITE INF0RMA ΤΙΟΝ: AREA: Parcel 0wner's Name: Lorina Ν. & David G. Caiias ΤΥΡΕ: Site Address: 17397 Enterιπise Rd. F0RMS: Citv, State, ZiP Code: Escalon CA 95320 NOTES: Area Code -Telephone Number: 20 9-402-7567 DRIVEWAY <br />0FFICE USE 0NL Υ <br />11005 Ί..2. lf � bι?lϊJ ISSUE ΟΑΤΕ: FEE DUE: DRIVEWAYS: <br />�Ι$ξ �'/) <br />• ,v QUAO 6G vW Αf)ι'�Η <br />___,_J '"' Ρ� /7ι , <br />• • • <br />C0NTRACTOR ΤΥΡΕ: QUANTITY 1 WIDTHS Name: Chris' Mobile Home Service AGRICULTURE: 1 @.FR0NT AGE Address: 2303 νν. Atherton Dr. COMMERCIAL: City, State, Ζίp Code: Manteca CA 95 337 INDUSTRIAL: / 1 @. R/W Area Code -Telephone Number: 209-823-9490 RESIDENCE: ι/v/ <br />PAVED FR0NTAGE LENGTH: Ft. χ WIDTH: Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Ηί hway Right-of-Way on the /4ΙΕ5Τ side of ι5ΊΙΙ�@ι':$$. /20. approximately � e ile /ιιfμ �rΗof t ι4kssι6/L IZ.b , ,:Sζ.Α'-4λ/ , by installing __,,�--L.LL..L.ι....=..L..:.>.""'-'------ <br />__________________________________ Work wil l commence on or about ____________ for approximately ________ days. <br />SKETCH (Separate sheet may be submitted) <br />DRAWING AΠACHED. <br />-· <br />Will this project be self-installed? __ YES Χ ΝΟ Contractor's License --"C�4�7-�6=89=8=5'--0 ____________ _ <br />P\cΙICROACHIIEIHS\Wstιer Foιms•TeιrρΊ.1tes'EflCROACt1'81Et/T PER��r ORfVE\'l.ι.V doc(OM>ej