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s <br />X <br />COUNTY OF SAN JOAQUIIV <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVW I=RGNTAGLS <br />PERMIT APPLICATION <br />APPLICANT <br />JOB #: <br />Name: . e <br />60t <br />EXP. DATE; <br />X <br />COUNTY OF SAN JOAQUIIV <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVW I=RGNTAGLS <br />PERMIT APPLICATION <br />Dafie: <br />Received By: <br />APPLICANT <br />JOB #: <br />Name: . e <br />60t <br />EXP. DATE; <br />Address: <br />STREET: <br />Cit ,State, Zi Code: <br />pn" c <br />TYPE: <br />Area Code -Tele hone <br />Number: j0 p"? <br />SITE <br />INFORMATION: <br />DRIVEWAY <br />Parcel Owner's Name: K4 <br />Co� e <br />- <br />Site Address; 5`(,e2o <br />c.cC.,,,v% t—d.. <br />City, State, Zip Code:. , -d, a e� <br />� 2 D <br />Area Code "Telephone <br />Number; o qf <br />@ RIW <br />CONTRACTOR <br />Name: <br />PAVED FRONTAGE <br />LENGTH: <br />Address: <br />City, State, Zip Code: <br />Area Code <br />- Telephone <br />Number: <br />Dafie: <br />Received By: <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 feetlmile <br />of by installing <br />commence on or about <br />for approximately <br />days. <br />Work will <br />P:IFJdCRDACHIdEIVTs{Masler Farms-TemplaleslENCRDACHMEM PERMIT DRIVE4YAY.doc (08(08) <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE; <br />APN 121732003 FEE DUE: <br />EXP. DATE; <br />DRIVEWAYS: <br />STREET: <br />AREA: <br />QUAD <br />TYPE: <br />FORMS: <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 Highway Right -of -Way on the <br />side of approximately feetlmile <br />of by installing <br />commence on or about <br />for approximately <br />days. <br />Work will <br />P:IFJdCRDACHIdEIVTs{Masler Farms-TemplaleslENCRDACHMEM PERMIT DRIVE4YAY.doc (08(08) <br />