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COUNTY OF SAN JOAQUIN a e: <br /> DWRTMENT OF PUBLIC WORKS Received by <br /> DRWEWAY & PAVED FRONTAGES • CR# /0 S/ 9 <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> SnJC'�e •� <br /> N e JOB # 11005 ISSUE DATE / 1_ <br /> APN FEE DUE - <br /> �Z F f JP f C DRIVEWAYS <br /> Addres EXP..DATE /S � t <br /> �21=/✓C' i4-M STREET <br /> rT�wiiv QUAD S>< ' <br /> city,state-Zip Code AR EA / <br /> Za gg 3 d S TYPE. <br /> (Area Code)Telephone FORMS <br /> NOTE <br /> SITE INFORMATION <br /> Nlg�PK Si wC/��d�� <br /> Parcel Owner's Name DRIVEWAY <br /> 5'0 2`f E Ae 45S'r WIDTHS <br /> Site Address TYPE QUANTITY <br /> CNCk AGRICULTURE @ FRONTAGE <br /> City,State-Zip Code "- COMMERCIAL <br /> Zog 9 S3 0 ass INDUSTRIAL @ R/w <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR <br /> PAVED FRONTAGE <br /> r& !=Lyi C w �.� �•�c{va <br /> N me LENGTH: Ft. X WIDTH: Ft. <br /> a OL? <br /> Address <br /> C;,4 2 p 5G The undersigned hereby applies for permission to encroach <br /> Cay,State-Zip Code oounty Highway Right-of-Way on the side of <br /> �i�ST le% approximately <br /> (Area Code)Telephone . 77--=/ mile Sd t/7 of Eir 9;y <br /> C A by installing 6L�,el y <br /> I : <br /> Work will commence on or about 27 for approximately days. <br /> SKETCH (Separate sheet may be submitted) <br /> 90 2 r. <br /> � PQ lest Q� <br /> N <br /> %hill this project be self-installed? NO YES Contractors License <br />