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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />n <br />Received By: <br />APPLICANT <br />Name: <br />S <br />Address: i �, <br />SCDI .Q/ <br />Cit ,State, Zi Code: <br />3 <br />Area Code Telephone <br />Number; <br />AREA: <br />W.4AA 1',44A QUAD <br />SITE <br />INFORMATION: <br />Parcel Owner's Name: <br />Leo Ornlivi <br />NOTES: <br />Site Address: 23 l <br />D S • IAS <br />Cit , State, Zi Code: <br />+oei C �5 <br />Area Code -Tele hone <br />Number: <br />AGRICULTURE: <br />CONTRACTOR <br />Name: <br />COMMERCIAL: <br />Address: <br />INDUSTRIAL: <br />Y <br />RIW <br />RESIDENCE: <br />City, State, Zip Code: <br />MaAfgal 6A 015625(a <br />Area Code - Tele hone <br />Number: 900 oo 17124- <br />LENGTH: <br />n <br />Received By: <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Hi ay Right -of -Way on the <br />�r45r," side of approximately a He orfLoC rr <br />of AlAWP CO—WhOb PC A-40%reA , by installing <br />Work will <br />commence on or about for approximately days. <br />P:IENCROACHMENiSIMesler Forms-TemplatealENCROACHMENT PERMR �RIVEVVAY.doc (00100) <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE; <br />APN,/a. <br />J/0-// FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />14WItOAl jai <br />AREA: <br />W.4AA 1',44A QUAD <br />TYPE:zlW <br />�ieaew <br />FORMS: <br />G✓ X17 <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: Ft. <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Hi ay Right -of -Way on the <br />�r45r," side of approximately a He orfLoC rr <br />of AlAWP CO—WhOb PC A-40%reA , by installing <br />Work will <br />commence on or about for approximately days. <br />P:IENCROACHMENiSIMesler Forms-TemplatealENCROACHMENT PERMR �RIVEVVAY.doc (00100) <br />