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1� <br />k <br />�_ 2co3s'So <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: q !Z iC/Gr 6 MY <br />Address: /%1)12rj led <br />City, Slate, Zip Code: <br />Area Code - Tele hone Number: —%/ 7 — <br />SITE INFORMATION: <br />Parcel Owner's Name: .P -e <br />Site Address: <br />City, State, Zip Code: <br />Area Code -Telephone Number: <br />CONTRACTOR <br />Name: <br />Address: <br />ate, Zi Code: <br />Co—de -Telephone Number: <br />Date: <br />Received By: <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />FAST side of f7&L D go approximately 13 0 feeurnue SalTN <br />Of HGHY G by installing <br />commence on or <br />may <br />1 A Will this project be self -installed? YES %� NO <br />P.1ENgtORCHMENFSVAsskr FwmsimPbimIENCRWCHNEMPERMR RPIVEWPYEoo(OBNB) <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />OFFICE USE ONLY <br />C'z <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />/05 -/8o -/J FEE DUE: <br />EXP, DATE: <br />DRIVEWAYS: <br />STREET: <br />4acw RD. <br />AREA: <br />Livoe•/ QUAD NE <br />TYPE: <br />FORMS: <br />/7 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />R/W <br />RESIDENCE: <br />L <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 />FAST side of f7&L D go approximately 13 0 feeurnue SalTN <br />Of HGHY G by installing <br />commence on or <br />may <br />1 A Will this project be self -installed? YES %� NO <br />P.1ENgtORCHMENFSVAsskr FwmsimPbimIENCRWCHNEMPERMR RPIVEWPYEoo(OBNB) <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />