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YS —4EZ) : 00Coc, <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Date: /O / /4o)o <br />Received By: 0 /9 <br />APPLICANT <br />JOB #: <br />APN <br />EXP. DATE: <br />STREET:Q,P <br />AREA: <br />TYPE: <br />FORMS: <br />Name: <br />J) 1 E DE <br />Address: t Z S" <br />U AY #VC <br />TYPE: <br />City, State, Zip Code: <br />LO 0 I CA <br />q5OAK <br />Area Code - Telephone <br />Number: 20q - <br />7� 6c 3 <br />SITE <br />INFORMATION: <br />Parcel Owner's Name: <br />Ivo Llztl V i EOe <br />Site Address: <br />C c, <br />VC <br />City, State, Zip Code: L O c <br />9s2 `IM <br />Area Code =Telephone <br />Number: 2 0 - 42S <br />LENGTH: <br />CONTRACTOR <br />Name: D �DE <br />C01VSTPt4,c.r10A1MLVAIC <br />Address: P0 31ook <br />toe) �7 <br />City, State, Zip Code: <br />Jo 6 D 9f, Id <br />6 " CAL cy S <br />Area Code Telephone <br />Number: 2(1Q— <br />-fr2S$- <br />Date: /O / /4o)o <br />Received By: 0 /9 <br />The ndersigned hereby applies�or permission to excavate, construct and/or otherwise encroach on County Highway Right- -Way on the <br />side of �6e°A*Cry A a Vv approximately ee. Ile O lets <br />ofiJr� 1, f by installing _�/ fd <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self -installed? YES _�NO <br />P:IENCROACHMENTMMasler Forms-TemplaleslENCROACHMENT PERMIT DRIVEWAY.doc (08108) <br />for approximately <br />Contractor's License ;l�J <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />APN <br />EXP. DATE: <br />STREET:Q,P <br />AREA: <br />TYPE: <br />FORMS: <br />11005 ISSUE DATE: <br />n6 1 /7 £S3 FEE DUE: <br />DRIVEWAYS: <br />y QUAD' <br />In <br />�W. <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />F@ R/W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft, X WIDTH: Ft. <br />The ndersigned hereby applies�or permission to excavate, construct and/or otherwise encroach on County Highway Right- -Way on the <br />side of �6e°A*Cry A a Vv approximately ee. Ile O lets <br />ofiJr� 1, f by installing _�/ fd <br />commence on or about <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self -installed? YES _�NO <br />P:IENCROACHMENTMMasler Forms-TemplaleslENCROACHMENT PERMIT DRIVEWAY.doc (08108) <br />for approximately <br />Contractor's License ;l�J <br />days. <br />Work will <br />