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iJc, �2t Nep� G. l 4 i I <br />COUNTY OF SAI V JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />�r,IVEWAYS AND PfA\(ED FRONTACIIWS <br />PERIVIT APPLICAT€CIN <br />.,APPLICANT <br />Name; <br />/01j <br />11005 ISSUE DATE: <br />Z&40 .j& FEE DUE: <br />DRIVEWAYS: <br />Address: <br />° <br />City, State, <br />Zip Code: <br />TYPE: <br />Area Code <br />- Telephone <br />Number: .. <br />SITE INFORMATION: <br />Parcel Owner's Name; 777cE <br />�, ,J •) <br />Site Address: "Z <br />2.° . f <br />Cit ,State, <br />Zip Code; <br />S - <br />Area Code <br />- Telephone <br />Number: x- <br />WIDTHS <br />AGRICULTURE: <br />CONTRACTOR <br />Name: <br />@FRONTAGE <br />Address: <br />City, State, <br />Zip Code: <br />Area Code <br />- Telephone <br />Number: <br />e <br />Qate: _�� �a ;r<► <br />Received By,�Vr'- F <br />The undersigned hereby applies for permission to excavate, construct and/or othenrrise encroach on County Hi way Right -of -Way on the <br />oiC71 side of d2ng5LOowor , WAV approximately e [9 WWV7' <br />of •, �lN� RD 01'rc4&rP&f by installing nV . }TOdA4Q <br />commence on or about <br />for approximately <br />days. <br />Work will <br />KIENCRDACHMEIJTSIMasler Forms TemplaleaL9JCRUACHIdEAR PERldli DRIVEWAY.dm .0&�08) <br />OFFICE USE ONLY <br />JOB #: <br />AIDN <br />EXP. DATE: <br />/01j <br />11005 ISSUE DATE: <br />Z&40 .j& FEE DUE: <br />DRIVEWAYS: <br />STREET: <br />AREA: <br />5t"os e�k.2u 0 QUAD A16 <br />TYPE: <br />zVV <br />FORMS: <br />-r7 <br />IJOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL; <br />@ R/W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or othenrrise encroach on County Hi way Right -of -Way on the <br />oiC71 side of d2ng5LOowor , WAV approximately e [9 WWV7' <br />of •, �lN� RD 01'rc4&rP&f by installing nV . }TOdA4Q <br />commence on or about <br />for approximately <br />days. <br />Work will <br />KIENCRDACHMEIJTSIMasler Forms TemplaleaL9JCRUACHIdEAR PERldli DRIVEWAY.dm .0&�08) <br />