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All <br />COUNTY OF SAID JOAQUIN <br />I�EPARTMEIdT OF PUL.IC WORKS <br />L <br />RIVE NAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />r <br />1. <br />6 <br />v <br />Date; ` �I,h <br />Received By, lxoe <br />CR., __G�� G• <br />r <br />APPLICANT <br />Name: <br />Address: <br />City, State, <br />JLAMS <br />Zip Code: <br />eri. <br />Area Code <br />- Tele hone Number; <br />SITE INFORMATION: <br />Parcel Owner's Name; <br />Site Address: <br />JA <br />, �s'+� os <br />City, State, <br />Zip Code: <br />Area Code <br />- Telephone <br />Number: <br />NOTES: <br />,4%0-4,► <br />.t <br />{`P .... <br />CONTRACTOR <br />Name; <br />DRIVEWAY <br />Address; <br />QUANTITY <br />City, State, <br />ip ode; <br />Area Code <br />- Telephone <br />u ibe . <br />r <br />1. <br />6 <br />v <br />Date; ` �I,h <br />Received By, lxoe <br />CR., __G�� G• <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-VJay on the <br />u+1� sideof �Yr' moi) approximately feet/mile M4fQ4f <br />of _O+ -c &DO 4Y by installing 22o4l 046%gj H� <br />commence on or about <br />for approximately <br />days, <br />1Nork will <br />X'IEIJCP,O/.CHIdENTSIIrlasier Fermi-TemN�las1ENCR0ACHl.1'cPI! PL"RIA!T ORIV�l1'AY.rloc (DOIDE) <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />w240-1 FEE DUE: <br />EXP. DATE; <br />DRIVEWAYS: <br />STREET: <br />AREA: <br />►,q,�rr QUAD <br />TYPE: <br />3'A' , 60641 I" <br />FORMS: <br />M%7 <br />NOTES: <br />,4%0-4,► <br />.t <br />{`P .... <br />t <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />(cD.FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ R/hr <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-VJay on the <br />u+1� sideof �Yr' moi) approximately feet/mile M4fQ4f <br />of _O+ -c &DO 4Y by installing 22o4l 046%gj H� <br />commence on or about <br />for approximately <br />days, <br />1Nork will <br />X'IEIJCP,O/.CHIdENTSIIrlasier Fermi-TemN�las1ENCR0ACHl.1'cPI! PL"RIA!T ORIV�l1'AY.rloc (DOIDE) <br />