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COUNTY OF SAN JOAQUIN Date: / <br /> OARTMENT OF PUBLIC WORKS • Received by <br /> DRIVEWAY & PAVED FRONTAGES CR# S�Zo <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> r JOISSUE DATE <br /> B# 11005 1 1 <br /> — <br /> z4 D L r o, / APN _ _- FEE DUE <br /> ` <br /> L <br /> Address EXP. DATE 1'l5-%G- DRIVEWAYS <br /> ILS, c�' 9C.b Z STREE71✓/T� � + j v� Yrv�wt s <br /> City,state-Zip code AREA Z..o,ol QUADS ' I '' <br /> / 70 TYPE + <br /> (Area Code)Telephone FORMS <br /> NOTE <br /> SITE INFORMATION <br /> Parcel Q�vvners Name DRIVEWAY <br /> Z KIC tii cAlk o— WIDTHS <br /> She Address TYPE QUANTITY <br /> !3r-Do cam- AGRICULTURE FRONTAGE <br /> City,State-Zip Code - COMMERCIAL <br /> INDUSTRIAL @ R/1N <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR <br /> PAVED FRONTAGE <br /> Name LENGTH: Ft. X WIDTH: Ft. <br /> Address <br /> The undersigned hereby applies for permission to encroach <br /> City,State-Zip Code on County Highway Right-of-Way on the side of <br /> yr/h�iTE ,v L�T,g TSS approximately <br /> (Area Code)Telephone feet/mile of <br /> L o V I , by installing r 5- <br /> 3 s / <br /> Work will commence on or about ®G�/. / 4/9.s— for approximately days. <br /> SKETCH (Separate sheet may be submitted) <br /> see- <br /> project <br /> eeproject be sellr-:nslalied? NO YES Cor.l-aclor's License <br />