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k <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVt:WAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name:. <br />t ` /f <br />Address: "- 044Lkw Ree ^ G�' U • Oc+K 1740 <br />City, State, Zip Code: Vc: :'' rwr j . C g52P <br />Area Code - Telephone Numbe : t94 77 — q% '/ <br />SITE INFORMATION: <br />Parcel Owner's Name: , Wy <br />Site Address:4L6 <br />City, State, Zip Code: lw ' ,,r CSF 2.b <br />Area Code Telephone Number: (Loo?) r? q 2 � 172-(f <br />CONTRACTOR <br />Name: 01t.1,ye t:Gute.Y <br />Address: <br />City, State, Zip Code: <br />Area Code - Telephone Number: <br />Received By: <br />Z <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />.3_ a4o - no FEE DUE: <br />i <br />, <br />- <br />AREA: 41 AJ D E,J QUAD IX <br />Received By: <br />Z <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feetlmile <br />of by installing <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self -installed? tt/' 1'ES NO <br />P:ffNCR0ACH1.lENTSIAIasler Fortns-TemplaleslEIVCRDACH6IENT PERIAIT DRIVEWAY.dac (GONG) <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 />.3_ a4o - no FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />AREA: 41 AJ D E,J QUAD IX <br />TYPE: 11) <br />L...) <br />FORMS: <br />w • 147 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RM <br />RESIDENCE: <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 />side of approximately feetlmile <br />of by installing <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self -installed? tt/' 1'ES NO <br />P:ffNCR0ACH1.lENTSIAIasler Fortns-TemplaleslEIVCRDACH6IENT PERIAIT DRIVEWAY.dac (GONG) <br />for approximately <br />Contractor's License <br />days, <br />Work will <br />