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t <br />COUNTY OF sSAN JOAQUIN <br />DEPARTMENT OF PULIC WORftS <br />f)RlVtr.VV S,Yb AM) PAVW) ETwt7Y�!'In11C#I� <br />rIl•�r01111° APPLICATION <br />APPLICANT <br />OFFICE USE ONLY <br />JOB #: <br />Name:11 k x�, <br />APN <br />lC. FEE DUE: <br />Address: 4 �J rlw I ,- <br />1I <br />City, State, Zi Code: ic 1: o,n) rm' 4 3 Ll <br />Area Code - Telephone Number: <br />.ri�e7 <br />QUAD � <br />TYPE: <br />SITE INFORMATION: <br />FORMS:,; r <br />NOTES: <br />Parcel Owner's Name: (rl: '( -��� ,i� rel <br />DRIVEWAY <br />Site Address:) s✓ i t c A <br />T <br />QUANTITY <br />City, State, Zip Code: r Yom, t Li <br />� <br />; ; <br />Area Code -Telephone Number:; f._ ; r- / - <br />@FRONTAGE <br />F *4, Q <br />CONTRACTOR <br />f <br />INDUSTRIAL <br />Name: .� I 1�0,! (.-. t '1 C, 6 OF <br />@ R!W <br />Address:..tj3 <br />City, State, Zip Code:er ;, ,1 <br />PAVED FRONTAGE <br />Area Code - Telephone Number: y c ..,4f <br />Ft. X WIDTH: Ft. <br />-< • i c� <br />A� <br />e n ,Cy <br />D'C��P.• 9'10.� a�„{:�llr"lig.—_._ <br />— -- <br />Received By, <br />The undersigned hereby appliEs for permission to excavate, construe; and/or otherwise encroach on Cowity Highway Right-of-lh'ay on the <br />X � ,e side of 40 approximately feeUmile EJL tli i <br />of e0j*eS"i t' < ASS-+Pee.°1. i . '4cl i p4 p vid ' .I n <br />' ' by installing o �. ,oJ',t���c�:� <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />��� Will This project be self -installed? _�t''�_YES IVO <br />P:I°lJCRJkCHKEGti 51t6zsler Pans-ic-mplaleslEhlCRiuiCHN.EIIi PERWIT O.41JE11'AY.dcc (0@IU:q <br />for approximately <br />Cont,actor's. License <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />lC. FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />�7.:��;r°: <br />AREA: �,u ,.r <br />.ri�e7 <br />QUAD � <br />TYPE: <br />FORMS:,; r <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />f <br />INDUSTRIAL <br />@ R!W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENG I H: <br />Ft. X WIDTH: Ft. <br />The undersigned hereby appliEs for permission to excavate, construe; and/or otherwise encroach on Cowity Highway Right-of-lh'ay on the <br />X � ,e side of 40 approximately feeUmile EJL tli i <br />of e0j*eS"i t' < ASS-+Pee.°1. i . '4cl i p4 p vid ' .I n <br />' ' by installing o �. ,oJ',t���c�:� <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />��� Will This project be self -installed? _�t''�_YES IVO <br />P:I°lJCRJkCHKEGti 51t6zsler Pans-ic-mplaleslEhlCRiuiCHN.EIIi PERWIT O.41JE11'AY.dcc (0@IU:q <br />for approximately <br />Cont,actor's. License <br />days. <br />Work will <br />