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IOCOUNTY OF SAN JUAUUIN <br /> ARTMENT OF PUBLIC WORKS * Received by <br /> DRIVEWAY & PAVED FRONTAGES CR#_ /0, <br /> ` -= PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> Name JOB #11005 ISSUE DATE ! /_ <br /> APN f-7'1_4: - 6 FEE DUE <br /> Address EXP. DATE 2 /s- `jS .. DRIVI»VJAXS J <br /> City,State zip Code QUAD SS :• .P S <br /> C 20"1> 4(,�-- ZOO TYPE_f;�<; <br /> (Area Code)Telephone FORMS <br /> • NOTE_ <br /> SITE INFORMATION <br /> A -mpaApc) DRIVEWAY <br /> Parcel Owner's Name <br /> WI c C-t:-(R WIDTHS <br /> Site Address TYPE QUANTITY <br /> SSC r� CA AGRICULTURE @ FRONTAGE <br /> City,State-Zip Code COMMERCIAL <br /> ZO�I� 14 �.7^ �Z50 INDUSTRIAL @ RIM! <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR <br /> PAVED FRONTAGE: <br /> SLS �, r!'r'�cl✓1 Pi4c�1 ti <br /> Name LENGTH: Ft. X WIDTH: Ft. <br /> ��{O'1 v.� • ���VVl ON� <br /> Address <br /> The undersigned hereby applies for permission. o encroach <br /> city,Stat -Zip Code on County Highway Right-of- ay on the � side of <br /> LZr � q('G--�Zgo approximately <br /> (Area Code)Telephone s f e /4'r*L— Th of <br /> by installing &-,-kr,`ve w <br /> Work will commence on or about ( � - �- _for approximately days. <br /> SKETCH (Separate sheet may be submitted) ;L � <br /> I I: <br /> L-L <br /> o I I I I �, <br /> Y1 <br /> A A, ACL -^•• AVC t i'X <br /> ® ® -�i'•' <br /> sem:-0 •— <br /> 3 _. <br /> p .L'-°' LAUREL ACRES <br /> ] r.r SCALE .0100• <br /> ® J ® M•SAN JOAOUIN COUNTY <br /> ASSESS0.'. MAPS <br /> Will this project be self-installed? NO YES Contractors License _ <br />