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M <br />A <br />rc <br />1, <br />COL) TY OF SAN JOAQUIN Da ftbe: <br />DEPANT /IEI'gT OF: PUL.IC WORKS <br />Received By: <br />DFUVEM I`~�Al(S AND PAVED FRONTAGES <br />GES <br />PER4,11TA]"PL:ICATfON CR +` <br />APPLICANT <br />Name: <br />Ad dress:.�1` � 61ke <br />• -441171.5 �F� <br />Cit , State, Zi Code: <br />Area Code - Telephone Number: <br />v%` ' ;�? <br />SITE INFORMATION: <br />Parcel Owner's Name; En.n � ca, <br />Site Address-firLl _ <br />City, State, Zip Code:�,n,=,e-,r eo <br />Area Code - Telephone Numbef\t ;•s r' i,•: <br />CONTRACTOR <br />Name: <br />Address: <br />City, State, Zip Code; <br />Area Code - Telephone Number; <br />The undersigned hereby applies for permission to excavate, construct and/or omenidise encroach on County Highway Right-of-VVay on the <br />_ side of approximately _ fee`u'mile <br />of , by installing <br />1'' `�" r'j'.. � . !l�• �'.Y.I.� it �_ c!P <br />commence on or about <br />� SKETCH (Separate sheef may be submitted) <br />for approximately <br />V'dill this project be self -installed? _��=1'E5 -__NO Contractor's License <br />7::1EIJL'R7.4CHILEI{TSlhlos;e: Finns-7cinpielerlEiICRO.tCHUFhIi FERIAIT DRIYEIEf.1'.dn. (UE1C5) <br />days• <br />V��ork will <br />OFFICE USE ONLI' <br />JOB A <br />11005 ISSUE DATE: <br />APN <br />``' "=- FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />AREA: <br />�w5T :;k c%ivf QUAD Ctz I <br />TYPE: <br />d.4i r'etl ')�'"i': iL . <br />FORMS; <br />DOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />IIJDUSTRIAL: <br />@ RAN <br />RESIDENCE <br />I <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or omenidise encroach on County Highway Right-of-VVay on the <br />_ side of approximately _ fee`u'mile <br />of , by installing <br />1'' `�" r'j'.. � . !l�• �'.Y.I.� it �_ c!P <br />commence on or about <br />� SKETCH (Separate sheef may be submitted) <br />for approximately <br />V'dill this project be self -installed? _��=1'E5 -__NO Contractor's License <br />7::1EIJL'R7.4CHILEI{TSlhlos;e: Finns-7cinpielerlEiICRO.tCHUFhIi FERIAIT DRIYEIEf.1'.dn. (UE1C5) <br />days• <br />V��ork will <br />