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WOUNTY OF SAN JOAQUIN Date: <br /> ARTMENT OF PUBLIC vvORKS • Received by <br /> DRIVEWAY & PAVED FRONTAGES CR# _Z�i <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> .. 11005 <br /> Name BoaISSUE DATE 1 / <br /> APN kyr `� <br /> p FEE DUE <br /> EXP..DATE %= "_/ y5 DRIVEWAYS <br /> Adarrens QUAD 3F t` vLty <br /> C�� STREET <br /> Ctty, tate- .p Code AREA /lig� c� fL L2 . <br /> - TYPE `:`v <br /> (Area Code) I elephone FORMS5/r, <br /> NOTE <br /> SITE INFORMATION <br /> Parcel Owners Name DRIVEWAY <br /> 34 � SrteAddre 7 TYPE QUANTITY WIDTHS <br /> AGRICULTURE FRONTAGE <br /> City, tate-Zip Code - COMMERCIAL <br /> INDUSTRIAL @ R/ - <br /> (Area Code)Telephone RESIDENCE <br /> Ile4CO�ITRACTOR _ <br /> rL LOBS �G /� 1-7 PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> 7 <br /> Name <br /> Z � d /�Y17 2 aY. <br /> AdOress <br /> -� A r: Z�? � The undersigned hereby applies for permisst n t encroach <br /> —' city,State-Zip Code on County Hinhway Ri ht f-Way on the_ side of <br /> 2 f/ ` S ~DS�� appr9 'm tely <br /> (Area Code)Telephone Z- fE I 'c'` Of r <br /> e+EN4E,,,rz- , by installing <br /> Work will commence on or about —for approximately days. <br /> KETCH (Separate sheet may be submitted) =-_ O <br /> 26 <br /> j <br /> �, ro;ect be self-inst2iled? NO YES ; <br />