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f <br /> • COUNTY OF SAKI JOAQUL`! <br /> DEPARTNT OF PUBLIC WORKS Date: _�/ � / 5 S <br /> .E <br /> DRIVEWAY &PAVED FRONTAGES Received by <br /> PERAUT APPLICATION CRV 9 /07 / ,S0 <br /> APPLIC,,'%1'IT OMCE USE ONLY <br /> JOB # 11005 ISSUE DATE —/ / <br /> Name APN Jyff - ,:� -0!1 -- FEE DUE <br /> EXP.DATE 3-15,-911- DRIVEWAYS: <br /> Address STREET ceA wA-y * /)"I, %vt' <br /> C-4 3 -7 AREA QUAD 1e, J14 -1 <br /> - State - Zip Cade TYPE Po4/yd' * o <br /> FORMS 5 s�w w, �- 7T/✓x /1 �1 <br /> Area Code - Tclephoae NOTE <br /> 1 SITE OWNER <br /> Nance DFUVEWAY <br /> Address TYPE-Qu.&N ITN WIDTH'S <br /> City - State - Zip Cade AGRICULTURE @ FRONTAGE <br /> COMMERCIAL <br /> II-,DUSTRIAL @ R/w <br /> Area Co-de - Telephone RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> �A- LENGTH: Ft X WIDTH: Ft � <br /> ;Fame <br /> The undersigned hereby applies for permission to encroach on Counts <br /> Address Highway Right-of-Way on the Sz�v T r►- side of <br /> City - State - Zip Code L 0-),4-� approximately <br /> Zo a * feet ke K/fir of <br /> Arta Code - Telephone b� instilling 445" <br /> Fork will continence on or about M�g �l', /y 1 S for approvimately e O days. <br /> 010 <br /> 00, <br /> SKETCH (Separate Sheet mazy be submitted) <br /> Kx[ <br /> y IR <br /> ' s as'�a <br /> $ W <br /> rJ, 3•a.v <br /> u, 19r- [0� g Igo <br /> II <br /> 09 Es Ir 71 7a.y rr I <br /> 10, <br /> be yr � -•#[rI iI <br /> . 18 7B x <br /> i0 .V <br /> l this project be self-installed? NO YES Contractor's License <br /> V' \ <br />