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P5-16011 o6 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULI:C WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />Name: pIlAAs1 21-P <br />Address:B�E /!1177- C <br />City, State, Zip Code: STbIJs7 <br />Area Code -Tele hone Number: � - p —O a-6 <br />SITE INFORMATION: <br />Parcel Owners Name:/ AA16C' 6OZICH <br />SfteAddress:P817H N <br />City, State, Zip Code: 1-+CA147100a 0 <br />Area Code - Telephone Number: ice- R 10-0, , <br />CONTRACTOR <br />Name: A11A <br />Address: <br />City, State, Zip Code: <br />Area Code - Telephone Number: <br />Date: <br />Received By: <br />CR#: &Z V49 <br />Right -of -Way on the <br />work w u <br />commence on or about /nc4y ao f 8 for approximately / - days. <br />SKETCH (Separate sheet may <br />Will this project be self -installed? YES NO <br />XPJCR ACHMEWMh (mrisTonH'z4AFllCP,9pGiM1!QT MX."MV AYdov(XW) <br />Contractors License N//; <br />OFFICE USE ONLY <br />JOB #. <br />11005 ISSUE DATE: <br />APN <br />gW7-¢"_Sg FEE DUE: <br />EXP: DATE: <br />DRIVEWAYS: <br />STREET: <br />0a,1,07r e.D <br />AREA: <br />QUAD /t/ <br />TYPE: <br />DW <br />FORMS: <br />56 i ,v ^/7 <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />@FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ RIW <br />RESIDENCE: <br />K/ <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: Ft, <br />Right -of -Way on the <br />work w u <br />commence on or about /nc4y ao f 8 for approximately / - days. <br />SKETCH (Separate sheet may <br />Will this project be self -installed? YES NO <br />XPJCR ACHMEWMh (mrisTonH'z4AFllCP,9pGiM1!QT MX."MV AYdov(XW) <br />Contractors License N//; <br />