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155e5 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: Cluis' Mobile Home Service <br />Address: 2303 Atherton Dr. <br />City, State, Zip Code: Manteca CA 95337 <br />Area Code - Telephone Number: 209-823-9490 <br />SITE INFORMATION: <br />Parcel Owner's Name: Vincent DeLillo <br />Site Address: 10070 S. McI<inle <br />City, State, Zip Code: French Camp, CA 95231 <br />Area Code - Telephone Number: 209-518-9277 <br />AREA: <br />CONTRACTOR <br />Name: Cluis' Mobile Home Service <br />Address: 2303 W. Atherton Dr. <br />City, State, Zip Code: Manteca CA 95337 <br />Area Code - Telephone Number: 209-823-1964 <br />Received By. <br />The undersi ned hereb alie�s fgr, pe missigg�� to excavate, construct andlor otherwise encroach on County H' ay Righ of -Way on the <br />g side of 40 6 f�vv2 approximately r _ fe He <br />of 1, wa, by installing <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />Drawing Attached <br />for approximately <br />Will this project be self -installed? YES X NO Contractor's License C47-689850 <br />P IENCRDACHMENTSIMasler Forms-TampialoslEIVCROAClIMENT PERMIT DRIVEWAY doc (08108) <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />P. / FEE DUE: <br />EXP, DATE: <br />DRIVEWAYS: <br />STREET: <br />,/'s,3Ailev <br />AREA: <br />j°�'U9C QUAD J <br />TYPE: <br />,ro:l, x <br />FORMS: <br />2v/7 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />RIW <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH; <br />Ft. X WIDTH: <br />Ft, <br />The undersi ned hereb alie�s fgr, pe missigg�� to excavate, construct andlor otherwise encroach on County H' ay Righ of -Way on the <br />g side of 40 6 f�vv2 approximately r _ fe He <br />of 1, wa, by installing <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />Drawing Attached <br />for approximately <br />Will this project be self -installed? YES X NO Contractor's License C47-689850 <br />P IENCRDACHMENTSIMasler Forms-TampialoslEIVCROAClIMENT PERMIT DRIVEWAY doc (08108) <br />days. <br />Work will <br />