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Received byOUNTY OF SAN JOAQUIN Date: —/ —I — <br /> � <br /> D ARTMENT OF PUBLIC WORKS CR# / U S� <br /> DRIVEWAY & PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> . ..... . .. . <br /> APPLICANT OFFICE USE ONLY <br /> ISSUE DATE <br /> Name JOB # 11005 <br /> n APN 93 - �,$'D_ zj� FEE DUE <br /> EXP. DATE DRIVEWAYS: <br /> Address <br /> 5 Z 3 STREET <br /> ( — AREA UAD S� • <br /> City,Starie Zlp Looe TYPE <br /> FORMS �� / <br /> (Area Code)Telephone _ 7. <br /> NOTE' <br /> SITE INFORMATION <br /> DRIVEWAY <br /> Parcel pwnefs Name <br /> - -FypE QUANTITY WIDTHS <br /> She Address FRONTAGE <br /> AGRICULTURE <br /> COMMERCIAL <br /> City,State-Zip code INDUSTRIAL -- <br /> (Area Code)Telephone RESIDENCE C� <br /> - CONTRACTOR PAVED FRONTAGE <br /> Name <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Address lies for permission t encroach <br /> The undersigned hereby app side of <br /> code on County Highway Ri ht-of- ay on the� ximatel <br /> City,State Zip 'apppro Y <br /> t Tfer# -A� of(Area Code)Telephone by installing <br /> for approximately days. <br /> Work will commence on or about — <br /> be submitted) • • s� ' <br /> St<tETCH (Separate sheet may ASH wµ - <br /> � PIT s <br /> ® t- <br /> A Q.. <br /> N - Ir <br /> O ® L <br /> 5 II Z OS 16_ <br /> w o � <br /> 2i 25 -� e, ST. <br /> o f WILLOW + <br /> * c -installed? NO YE: <br /> project self I <br /> I „ <br />