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aCOUNTYOF SAN JOAQUIN Date: <br /> ! <br /> EPARTMENT OF PUBLIC WORKS <br /> DRIVEWAY &PAVED FRONTAGES Received by__j- _ <br /> PERMIT APPLICATION CRV# 7 *�, <br /> APPLICANT OFFICE USE ONLY <br /> JOB # 11005 ISSUE DATE <br /> APN /0( - Z20 - FEE DUE <br /> . L"i 7 24 h EXP.DATE -/-`? DRIVEWAYS: <br /> STREET <br /> AREA :-9Jtn QUAD !)r <br /> Crty 13t- '/:3;lTYPE <br /> Arca Code - Tcicphow NOS ala)a -17 <br /> TE <br /> SITE OWNER <br /> Name DRIVEWAY <br /> Address TYPE-QUANTITY V'EDTEIq- <br /> City - State - Zip Code AGRICULTURE @ FRONTAGE <br /> COMMERCIAL. <br /> Area Code - Telephone INDUSTRIALR/W <br /> RESIDENCE <br /> CONTRACTOR <br /> PAVED FRONTAGE <br /> LENGTH: Ft x WIDTH: Ft <br /> Name <br /> Address The undersigned hereby applies for ptermi sion to encroach on County <br /> Highway Right-of-Way on the— UP side of <br /> City - State - Zip Code approximately <br /> or,k_ feet i� of -) 6 <br /> Arca Code - Te1cphone Tfock4me, , S ie) o <br /> Vork will commence on or about for approximately days. <br /> SKETCH(Separate Sheet may be submitted) <br /> 0),4 <br /> V Y <br /> "i <br /> Cz <br /> 'Fill this project be self-installed? NO YES Contractor's License <br />