Laserfiche WebLink
e <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVLMAYS AND PAVI.0 I MUN"1A(7MO <br />PERMIT APPLICATION <br />' <br />APPLICANT <br />Name: Zw6,evk <br />Address: <br />wd� Z - <br />City, State, Zip Code: <br />,- ,•o,,,,/ c pilm� z t <br />Area Code Telephone <br />Number: e 2i - Z2 - <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />u5u tdk, v? q Ir r +l&* <br />Site Address: 9 2 Zoo <br />q5a1,AAjpAr 61 ' <br />City, State, Zip Code: <br />�, A6 o <br />Area Code Telephone <br />Number: Zoq -4o3- C 7 <br />CONTRACTOR <br />Name: S <br />?,!,! ✓z z <br />Address: r& a <br />//& <br />City, State, Zip Code: <br />ffvv5co^e c#4� q S-2 z <br />Area Code - Telephone <br />Number: <br />ZAA1 3 2?- S Z'c� <br />Received By: �z <br />The yyndersigned hereby applies for permission to excavate, construct andlor otherwise encroach County Hi J�vay Right -of -Way on the <br />,NOS side of _.Mlslie�7 Yl�.approximately �� ee mHe � ?� <br />ofr X&A Aa _ , _ by installing ::4��f✓Iolk <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />�� Will this project be self -installed? <br />for approximately <br />/� YES IVO Contractor's License 2io �'� � � <br />P:IEMCR0.4CHMEIJTSUAasfer Farms-TemplaleslENCROACHMEIJI PERMIT DRII'EN'A1'.dos(O9,'08) <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />Os Il 6 7 FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />AREA: <br />QUAD /1!E <br />TYPE: <br />Mw4wd 4 <br />FORMS: <br />k <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RIW <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: <br />Ft. <br />The yyndersigned hereby applies for permission to excavate, construct andlor otherwise encroach County Hi J�vay Right -of -Way on the <br />,NOS side of _.Mlslie�7 Yl�.approximately �� ee mHe � ?� <br />ofr X&A Aa _ , _ by installing ::4��f✓Iolk <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />�� Will this project be self -installed? <br />for approximately <br />/� YES IVO Contractor's License 2io �'� � � <br />P:IEMCR0.4CHMEIJTSUAasfer Farms-TemplaleslENCROACHMEIJI PERMIT DRII'EN'A1'.dos(O9,'08) <br />days. <br />Work will <br />