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APPLICANT <br />vk C', &v <br />Name <br />Address <br />City, State - Zip Code <br />(Area Code) Telephone <br />TIO <br />Parcel Owners Name <br />CONTRACTOR <br />Name <br />Address <br />City, State - Zip Code <br />(Area Code) Telephone <br />COUNTY OF SAN JOAQUIN <br />WARTMENT OF PUBLIC WORKS <br />DRIVEWAY & PAVED FRONTAGES <br />PERMIT APPLICATION <br />• <br />Date:,/ <br />Received by <br />CR# 10__) of A <br />DRIVEWAY <br />TYPE QUANTITY <br />AGRICULTURE <br />COMMERCIAL <br />INDUSTRIAL <br />RESIDENCE <br />WIDTHS I <br />FRONTAGE <br />RM/ <br />PAVED FRONTAGE <br />LENGTH: Ft. X WIDTH: Ft. <br />The undersigned hereby applies for permission to encroach <br />on County Highway Right -of -Way on the FT side of <br />Iry g-,v56.� 'O. approximately <br />/ -0-o tfee / Tawwj of _Yose.+ R' Avv,,-, <br />by installing <br />Work will commence on or about_S_ _ for approximately <br />(Separate sheet may be submitted) f I I 1 4.31) Ac. <br />r, <br />I� <br />Q <br />days. <br />Ave, <br />Will this project be self -installed? NO YES Contractor's License _ <br />