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OF SAN JOAQUIN Date:DEI61UNTY <br /> TMENT OF PUBLIC WORKS • Received by _ <br /> DRIVEWAY& PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT <br /> 0FFICE USES ONLY <br /> J . JVI� s � <br /> Name JOB#.11005 ISSUE DATE 1 I <br /> A4 Anu GUS -0 2� APN L �Z b '`l FEE DUE <br /> Address EXP DATE_ ' 'f DRIVEWAYS <br /> 1537 STREET <br /> c, QUAD cJ <br /> C ,State-Z Code AREA r <br /> TYPE .I.:22 +�`�` <br /> (Area Code)Telephone FORMS "-� t`'�• �'' <br /> • NOTE <br /> SITE INFORMATION <br /> Parcel Owners Name DRIVEWAY <br /> �dgt TYPE QUANTITY WIDTHS <br /> She Address <br /> AGRICULTURE FRONTAGE <br /> City,State-Zip Code COMMERCIAL <br /> INDUSTRIAL @ R/W <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.Righ -of-Way on the —side of <br /> approximately <br /> (Area Code)Telephone L-7e /mile Dai of Wlkitup f�fi <br /> by installing bre <br /> Work will commence on or about _for approximately days. <br /> SKETCH (Separate sheet may be submitted) <br /> 0 t H 78 L e <br /> 66 !�} OS Z frvr �¢ -q •rrri <br /> x .ervri': t (6)• i• 3n 03 I kl3.ie 17 r ±� <br /> e® ) a• <br /> 'x4r.,r `0 r3 ff.'s <br /> if <br /> RB <br /> wS LY L ii,t .9i „ - I <br /> 4 L. a r• rr" • , <br /> ' LI6 re x I <br /> •I ..�' ... ! 1J13 <br /> 10 lo <br /> `',"'I this project be self-installed? NO YES A I <br />