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✓ • COUNTY OF-SAI JOAO.ULN • <br /> DEPART MNT OF PUBLIC WORKS Date: <br /> DRIVEWAY &PAVED FRONTAGES Received by IL/ SIS <br /> PERIIIIT APPLICATION CRV # /a"! i7 7 <br /> .,UPLIC10NT OFFICE USE ONLY <br /> 4 2�e e--Do JOB # 11005 ISSUE DATE — <br /> Name_� APN / 7/ - 66 o - / FEE DUE <br /> Z//' 4`• � si EXP. DATE DRIVEWAYS: <br /> S ,�1 Addr�s�s'Zd STREET ' �i # ,-;✓ . <br /> I� G/a . AREA Sri QUAD S S # 7"�,r(,� 1'L <br /> City - State - Zip Code TYPE -PAalf�� <br /> Zo � �� 3 OZ/ Z <br /> FORMS S S z,1-/ tk) —/ z <br /> Arca Code • Tdcphonc NOTE —� <br /> 1 SITE OWNER <br /> Name DRIVEWAY <br /> Address TYPE•QU.AIVTITY WIDTHS <br /> City - State - Zip Code AGRICULTURE @ FRONTAGE <br /> COMMERCIAL <br /> Area Code - 'Telephone INDUSTRIAL @ R/W <br /> RESIDENTCE _ <br /> CONTRACTOR <br /> PAVED FROLN'TAGE <br /> 3 .–� LENGTH: Ft a WIDT-A: Ft <br /> ;Fame <br /> Address The undersigned hereby applies for permission to encroach on County <br /> Highw�Right-of-Way on the �Y6�r.� side of <br /> '`si <br /> City - State - Zip Code " approximately <br /> reet . of B 5 T - , <br /> Arca Code - Telephone STf�i�/ , by installing <br /> Fork will con=ence on or about for approximately days. <br /> SKETCH (Seouate Sheet may be submitted) <br /> LO' <br /> c� P pe <br /> %'111 this oroiect be self-irsUllkdl NO YES Contractor's License <br />