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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />D�UVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Received By: <br />APPLICANT <br />Name:. o r: <br />1,S 1 S - v; <br />APN <br />Address: ._Z1 L;Ms rrorl mve <br />City, State, Zip Code: <br />5466&n 4 r to <br />Area Code -Telephone Number:(Zo9b <br />. VZ ' <br />AREA: �rrr_,�st�r,.7 <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />44^ S N V)1/4 <br />Site Address: V 53 <br />F 7/47 <br />City, State, Zip Code: <br />qh Z6 Lip <br />Area Code - Telephone <br />Number: <br />QUANTITY <br />CONTRACTOR <br />Name: <br />Address: <br />COMMERCIAL: <br />City, State, Zip Code: <br />INDUSTRIAL: <br />Area Code <br />- Telephone Number: <br />RESIDENCE: <br />Received By: <br />The undersigned hereby applies for permission to excavate, construct andlor otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feet/mile <br />of by installing <br />commence on or about <br />for approximately <br />days. <br />Work will <br />P:IENCROACHAIENTSIMasler Fanns-Ten�plateslENDRDACHMEIJ� PEP,MR DRIVEWAY.dw (88/08) <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN <br />r ()501? FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: =t6%4Gc <br />VW 4`r <br />AREA: �rrr_,�st�r,.7 <br />QUAD y� <br />TYPE: 7i?J 04APA4&4emw <br />FORMS: <br />N OTES: <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 andlor otherwise encroach on County Highway Right -of -Way on the <br />side of approximately feet/mile <br />of by installing <br />commence on or about <br />for approximately <br />days. <br />Work will <br />P:IENCROACHAIENTSIMasler Fanns-Ten�plateslENDRDACHMEIJ� PEP,MR DRIVEWAY.dw (88/08) <br />