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COUNTY OF SAN JOAQUIN Date: <br />DEPARTMENT OF PULIC WORKS <br />Received By; . <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION CR#:_Q_q&!J5 4 <br />PS-2300441 <br />I APPLICANT I j OFFICE USE ONLY <br />Name: Robert Smith <br />Address: Po Box 22748 <br />City, State, zip Code:Sacramento Ca 95822 <br />Area Cade - Tele hone Number: 916-229-2424 <br />I Email:ccps,risSgmail.com <br />51TE INFORMATION: <br />Parcel Owner's Name: Ajay Kumar <br />I Site Address:16895 Grant Line Rd <br />j City, State, Zip Code: Tracv Ca 95304 <br />Area Code -Telephone Number: 510-938-3070 <br />) <br />JOB #: 11005 ISSUE DATE: <br />APN 7.061, - 1140 - 61 FEE DUE: <br />EXR DATE: DRIVEWAYS: <br />STREET: 169q5 LJ Grvan4 Line- <br />$�.._..._._ <br />AREA: t QUAD <br />TYPE: n L <br />FORMS; 551 Li, i f :I -I <br />NOTES: <br />1 <br />ll <br />DRIVEWAY <br />_- —�-' CONTRACTOR I TYPE: QUANTITY WIDTHS <br />AGRICULTURE: @FRONTAGENoe; owner Buder <br />Add�res" s: I COMMERCIAL: <br />City, State, Zip Code: I INDUSTRIAL: I @ R/W <br />Area Code -Telephone Number: RESIDENCE: x �. <br />PAVED FRONTAGE <br />LENGTH: 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 />NORTH side of GRANT LINE RD approximately feeftle <br />of I . by installing <br />Work will <br />commence on or about for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />a <br />r <br />Will this project be .self -installed? ✓ YES NO Contractor's License <br />XIENCRuALrHMQITSI s1N Fa-TOPVIAi1EHCROKHYEIII PERFAI [RiIVEWAY OPP(0808J <br />