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' OUNTY OF SAN JOACUIN Date: <br /> ARTMENT OF PUBLIC WORKS . Received by <br /> DRIVEWAY& PAVED FRONTAGES CR# /D It S� a' <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> ISSUE DATE <br /> Name JOB# 11005 — <br /> APN� S y FEE DUE <br /> 7Z.S-.�S• �.*���'�"a �� � <br /> Address EXP. DATE DRIVEWAYS: <br /> STREET <br /> City, tate-zip code AR EA .r�fr+yr�a✓= QUADStS <br /> 7YPE 'v�cu.4 <br /> (Area Code)Telephone FORMS' <br /> NOTE <br /> SITE INFORMATION <br /> parcSet Owners Name DRIVEWAY <br /> She Address TYPE QUANTITY WIDTHS <br /> AGRICULTURE FRONTAGE <br /> _ City,State-Zip Code COMMERCIAL <br /> INDUSTRIAL RJW <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 /> psi <br /> City,State-Zip Code on County Highway Right-of-Way on the 1✓ side of <br /> i2o, approximately <br /> (Area Code)Telephonea� or ee /mile o.e of 0.4,­11-6vo0� <br /> by installing <br /> Work will commence on or about S��i, o for approximately /�� days. <br /> ' r _.. ( „ <br /> SKETCH (Separate sheet may be submitted) SAYRE — r �- <br /> c 'C J04 77 <br /> 47.: ' <br /> 101 78 ` 74 <br /> el:c <br /> CORNW- ALL 7I` II: .,•..a..�11i .. .. Ilw <br /> aRw,fl!-moo �f <br /> '73 <br /> • '' °,r. 72 49 <br /> _, .., roti i. �3J • .� �O r✓ <br /> 61 b'°.�71 so�.a <br /> MUNRO AVE. I' ..r.c 6Z 3 70 a 5},,. 'QO' <br /> _ �{: •° jC l cwt: II <br /> (14 ' <br /> Will this project be self-installed? NO YES Contractors License <br />