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COUNTY OF SAN JOAOUIN Date:_ <br /> ARTMENT OF PUBLIC 'dJORKS • Received by <br /> OWTVEWAY & PAVED FRONTAGES <br /> CR#_I nR K(nO <br /> PERMIT APPLICATION <br /> APPLICANT <br /> JenAy l/✓%dei,/��� OFFICE USE ONLY <br /> %1//�c�P��� F-7 JOB # 110+)5 ISSUE DATE <br /> Name APN,q Z oo p� ' FEE DUE <br /> EXP DATE: - DRIVEWAYS <br /> Address <br /> C FS C S 3 STREETS s �� ;,o .. <br /> ---city,state-Zip Code AREATYPEQUADS_ <br /> r <br /> (Area Code)I eiephone <br /> FORMSL2.S/t� <br /> NOTE - <br /> SITE INFORMATION <br /> DRIVEWAY <br /> Parcel Owners Nam <br /> 30 P�0 E ;e K& TYPE QUANTITY WIDTHS <br /> She Address FRONTAGE <br /> AGRICULTURE <br /> SC _-- COMMERCIAL <br /> City,State-Zip Code @ RIW <br /> INDUSTRIAL <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE. <br /> Name LENGTH: <br /> aUeS�2GtGT d� GD: Ft. X WIDTH: Ft. <br /> Address <br /> The undersigned hereby applies for permission to encroach <br /> city,State-Zip Code on County Highway Right-of-Way on the ximatel <br /> C> s aes C�{�2 <br /> approximately <br /> (Area Code)Telephone <br /> woo 71 feet mile_ sr of <br /> Ll-�-Cc , by installing <br /> Work will commence on or about ��T. ��� S _for approximately days. <br /> SKETCH (Separate sheet may be submitted) <br /> N <br /> Ross. I ��e <br /> �%nII this project be self-installed? NO YES Contractor's License <br />