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P5—14�103y3cl <br />S <br />r� <br />COUNT`( OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED faKUNTAGES <br />PERMIT APPLICATION <br />APPLICANT <br />OFFICE USE ONLY <br />Name: ALc 1 e 0 All 11) - L C2 <br />-_. •cr <br />Address: 362. E; r s;ee cln <br />EXP. DATE; <br />City, State, Zip Code: FreiiCh Ckm c'rt <br />q523i <br />Area Code - Telephone Number: c{()3 - <br />q7 S <br />SITE INFORMATION: <br />TYPE: <br />Parcel Owner's Name: (QCr L,og ecz yy�:f. <br />Site Adclress:.�;;,�, �; via nee L+v % <br />City, State, Zip Code: F c;v Lam p ypf <br />-16 Z A l <br />Area Code Telephone Number: <br />q8 <br />CONTRACTOR <br />WIDTHS <br />Name: <br />Address: <br />COMMERCIAL: <br />City, State, Zip Code: <br />INDUSTRIAL: <br />Area Code - Telephone <br />Number: <br />RESIDENCE: <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 feeUrnile <br />of by installing <br />commence on or about <br />for approximately <br />days, <br />Work will <br />P:IENCRUAChIMENTS1Masler FormsTemplateslEl ICRUACHMEM' PERMR ORIVEN'AY.dac (08/08) <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />APN _ Cy 3 370 yq 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 />@ RNV <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: <br />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 feeUrnile <br />of by installing <br />commence on or about <br />for approximately <br />days, <br />Work will <br />P:IENCRUAChIMENTS1Masler FormsTemplateslEl ICRUACHMEM' PERMR ORIVEN'AY.dac (08/08) <br />