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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />5/`cl v,4 V R -A <br />PERMIT APPLICATION <br />APPLICANT <br />Name: <br />4 faAwc=V <br />Address: <br />City, State, Zip Code: <br />Area Code -Telephone Number: <br />Email: <br />SITE INFORMATION: <br />Parcel Owner's Name: r ,FAA <br />S J Ae� S rune. 2A <br />Site Address:iy zqo <br />7e706,Cit <br />, State, Zip Code: Src cK t <br />Area Code - Telephone Number: <br />4R&9N8"j ff( g <br />CONTRACTOR <br />Name: Pc"f <br />�lr oYEk <br />Address: <br />City, State, Zip Code: <br />Area Code -Telephone NumbervZO &7 <br />Date: y1181ell, <br />Received By: "�"— <br />CR#: 6D L, 114, <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feeurnue <br />Of , by installing <br />commence on <br />SKETCH (Separate sheet may <br />for approximately <br />Will this project beself-installed? YES NO Contractor's License <br />%:IENLRCALNMEMSV.fxlx iameTarphmslENLRCACHAEMPERMfr CRNFNAYmcryOpB) <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN 20:,t-o50-Lq <br />FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: 1 y14D <br />S J Ae� S rune. 2A <br />AREA: M a <br />n Li r. q QUAD <br />TYPE: <br />FORMS: 2-L� <br />/.. r rJ W <br />NOTES: <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 otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feeurnue <br />Of , by installing <br />commence on <br />SKETCH (Separate sheet may <br />for approximately <br />Will this project beself-installed? YES NO Contractor's License <br />%:IENLRCALNMEMSV.fxlx iameTarphmslENLRCACHAEMPERMfr CRNFNAYmcryOpB) <br />days. <br />Work will <br />