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COUNTY OF SAKI JOAQUIN <br />DEPARTMEi T OF PUL.IC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />aen <br />r <br />Received By:— <br />n, <br />APPLICANT <br />_ <br />_Name: <br />Address:' <br />City, State, Zip Code: <br />I J 0 B <br />Area Code - Telephone Number: <br />ISSUE DATE: <br />APN <br />SITE INFORMATION: <br />_ <br />EXP. DATE: <br />Parcel Owner's Name:��1%� <br />DRIVEWAYS:_ —^ <br />Site Address: <br />AREA: <br />City, State, Zip Code: ---5 ��,�• <br />Area Code Telephone <br />Number: ) p <br />CONTRACTOR <br />Name: <br />Address: <br />—�—�- <br />City, State, Zip Code; <br />DRIVEWAY <br />_ <br />Area Code Telephone <br />Number: <br />aen <br />r <br />Received By:— <br />n, <br />The undersigned hereby applies or permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />side of 1 `q� ' X "3 cL` approximately feeUmile <br />Of �L.Q:N V,� c"Z �:.-C--� NIN!) �"R n���ti\,�� �t� �a by installing -- --- <br />commence on or about <br />for approximately <br />days• <br />Work will <br />QVr:TMj (Separate sheet maybe submitted) � G w ��� - •-`- <br />I <br />pIN <br />04 _ <br />1 Will this project be self -installed? �---I_•_ `r'ES 1�1_T_I1 <br />10 CQntLaClor'S License <br />I'.IAI ICHCACHIdEIliSlNasPfr Fenn. Temu!alecl„I IGROACHI4afr PER1!li �,^,ii�G4'"',1'.do.; (UwUS} <br />OFFICE <br />USE ONLY <br />I <br />y_ <br />I J 0 B <br />1'1005 <br />ISSUE DATE: <br />APN <br />_ <br />Ei17L249 <br />FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS:_ —^ <br />STREET: <br />AREA: <br />.+„ QUADS - <br />TYPE: <br />FORMS: <br />NOTES; <br />—�—�- <br />- <br />DRIVEWAY <br />TYPE: <br />_ <br />QUANTITY <br />WIDTHS <br />AGRICULTURE; <br />@FRONTAGE_ <br />COMMERCIAL: <br />_ <br />INDUSTRIALS <br />— - <br />_ <br />RAN _ <br />RESIDENCE: <br />CcD <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X <br />WIDTH: Ft. <br />The undersigned hereby applies or permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />side of 1 `q� ' X "3 cL` approximately feeUmile <br />Of �L.Q:N V,� c"Z �:.-C--� NIN!) �"R n���ti\,�� �t� �a by installing -- --- <br />commence on or about <br />for approximately <br />days• <br />Work will <br />QVr:TMj (Separate sheet maybe submitted) � G w ��� - •-`- <br />I <br />pIN <br />04 _ <br />1 Will this project be self -installed? �---I_•_ `r'ES 1�1_T_I1 <br />10 CQntLaClor'S License <br />I'.IAI ICHCACHIdEIliSlNasPfr Fenn. Temu!alecl„I IGROACHI4afr PER1!li �,^,ii�G4'"',1'.do.; (UwUS} <br />