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I,11 <br />..�t ,r;:t. <br />CC)L1NT1' OF SPA JOAC)LA <br />DEPARTME:I'JT OF PLJL..IC WOR <br />[ IWHIP, M AND' PA ED E'RB`['AGE I <br />1='ICiIR1 UT APTIPL ICA f ICJ N' <br />APPLICANT <br />Nane: Shawn Hravey <br />Address; 419 W. 1st St. <br />City, State, Zip Code: Ripon, CA 95366 <br />Area Code • Telephone Number: 209.401-1282 <br />SITE INFORMATION, _ <br />Parcel Owner's Name: Diana Sartain or Lori Ruegsegger <br />Site Address: 17394 E. Front St. <br />City, State, Zip COCIE.: Linden, CA 95236 <br />Area Code - Telephone Number: 209-986-6769 <br />CONTRACTOR <br />Name: Chris' Mobile Home Service <br />Address: 2303 W. Atherton Dr. <br />City, State, Zip Code: Manteca, CA 95337 <br />Area Code - Telephone Number: 209-823-9490 <br />fI <br />( <br />h F <br />I <br />The undersigned hereby applies for��ermi�sion to exca�!ate, construct andlor othervdise encroach on County Hi away Right -of- Nay on the <br />-:_ sF e of r a� ro>:imateljp s _ �a' �r.-a <br />P I p y �. ,lee Im�le � <br />of M � s °� �' ! dam,^-�I!` r— r! a a r- v u a <br />— �r �c 9,�+n: by installing .y g ns � rr�a� Lat��el; <br />if <br />commence on or about <br />SICETCH (Separate sheet may be submitted) <br />Will this prajeci beself-installed? _YES , i�__.IJO <br />P:IEWCROhCHIdEIJT5113es(5r Forme-Templete;;L"-II:iiOr,l;Hii��IQ PeRL9T 7F.IVEVrhY.do. (G6N:) <br />for approximately <br />Contractor's i_icense C47-689850 <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB P <br />11005 ISSUE DATE; <br />APN <br />=`err° d =p" FEE DUE; <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />�rtt Gig A' <br />AREA: <br />4, QUAD <br />TYPE <br />bfc',�+3�a: <br />FORMS; <br />NOTES: <br />—' <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE; <br />RFRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RM <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The undersigned hereby applies for��ermi�sion to exca�!ate, construct andlor othervdise encroach on County Hi away Right -of- Nay on the <br />-:_ sF e of r a� ro>:imateljp s _ �a' �r.-a <br />P I p y �. ,lee Im�le � <br />of M � s °� �' ! dam,^-�I!` r— r! a a r- v u a <br />— �r �c 9,�+n: by installing .y g ns � rr�a� Lat��el; <br />if <br />commence on or about <br />SICETCH (Separate sheet may be submitted) <br />Will this prajeci beself-installed? _YES , i�__.IJO <br />P:IEWCROhCHIdEIJT5113es(5r Forme-Templete;;L"-II:iiOr,l;Hii��IQ PeRL9T 7F.IVEVrhY.do. (G6N:) <br />for approximately <br />Contractor's i_icense C47-689850 <br />days. <br />Work will <br />