Laserfiche WebLink
r <br />COUNTY OF SAN JOAQUIN <br />DIEPARTIVENT OF PULIC WORKS <br />I�IgKOVE:WAYs AN LJ PAVIEIJ FI;;ON'I"AUti) <br />PERMIT APPLICATION <br />s <br />commence on or about <br />1I0 ----- <br />0��► <br />Received By: lz� <br />APPLICANT <br />Name: <br />> iZt^ r, W o 2,IL rA Aij <br />Address: <br />i, S e) tL N&nt 4o cZern r <br />City, tate, <br />Zip Code: L dc., : &A oil rz Z4 z <br />Area Code <br />Telephone Number: Zv ' l <br />0; qC57z.1 <br />ZI/AmuJ QUAD A <br />SITE INFORMATION: <br />Parcel Owner's Name:' .L,,,,,> ' <br />1 %SSA VUWA <br />Site Address: C) Mv)�Icx i2 -J <br />City, State, <br />Zip Code: L 1 /%Jc.^t C. A <br />Area Code <br />- Telephone Number: 2 V 3'5`[ `fi #1 W <br />TYPE: <br />CONTRACTOR <br />Name: �,'> <br />V t/J T' VVL3 (Lt pA A Q <br />Address: <br />j 5iao rz, PH40A `JTe o✓o.� <br />@FRONTAGE <br />City, State, <br />Zip Code: L o • �,A cl `j zq Z <br />Area Code <br />- Telephone <br />@ R/W <br />Number: <br />'-O l 4's 10 4 �3 2 I <br />s <br />commence on or about <br />1I0 ----- <br />0��► <br />Received By: lz� <br />for permission to excavate, construct and/or otherwise encroach on County Hi ay Right-of-Ultay on he <br />approximately feei1ejw- <br />�1 by installing __ <br />SKETCH (Separate sheet may be submitted) <br />P <br />Will this project be self -installed <br />YES VN NO <br />P:IEI4CROACtIAdEIJT811Jasler Pcrms=(emplateslEHCROACHM=M PE3MIT �RIVEWAY.dw (08108) <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />14966 $fFEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />46949V Aqv <br />AREA: <br />ZI/AmuJ QUAD A <br />TYPE: <br />ft <br />FORMS: <br />,Z; <br />1 <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: <br />Ftf <br />for permission to excavate, construct and/or otherwise encroach on County Hi ay Right-of-Ultay on he <br />approximately feei1ejw- <br />�1 by installing __ <br />SKETCH (Separate sheet may be submitted) <br />P <br />Will this project be self -installed <br />YES VN NO <br />P:IEI4CROACtIAdEIJT811Jasler Pcrms=(emplateslEHCROACHM=M PE3MIT �RIVEWAY.dw (08108) <br />for approximately <br />Contractor's License <br />days. <br />Work will <br />