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COUNTY OF SAN JOAQUIN Date: <br /> f PARTMENT OF PUBLIC WORKS Received by %O-2/P-�!'i� <br /> DRIVEWAY& PAVED FRONTAGES} •,�" f I CR#L o <br /> PERMIT APPLICATION <br /> APPLICANT <br /> - OFFICE USE ONLY <br /> h6 NGtAj r3-57-2c- <br /> Name JOB # 11005 ISSUE DATE 1 l <br /> APN 6 3- [0 S" FEE DUE <br /> Address EXP. DATE DRIVEWAYS <br /> STREET7b -�4Y ' fit- <br /> City.state-Zip Code AREA'-: QUAD IV <br /> ... , <br /> Sl TYPE;: <br /> (Area Code)Telephone FORMS ► ,cf Gtr, ` <br /> NOTE <br /> SITE INFORMATION <br /> Parcel Owner's Name DRIVEWAY <br /> She Address _ TYPE QUANTITY WIDTHS <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 Right-of-Way on the lZV'� side of <br /> Ce60/j RLD , approximately <br /> (Area Code)Telephone V 2 -€eet/mile'W6-,S J- of 70NL-I <br /> by installing OA`i✓ <br /> Work will Commence on or about D -23- q �'- for approximately 3 days. <br /> SKETCH (Separate sheet may be submitted; ' .. =• � ' <br /> I Q <br /> c j e c e ` p" �l, r' e r w.•.e..rr x•1015 O <br /> em COU TRY HO E CO ONY "" " <br /> sl ... nom' ° oS!' re',v .. . ...J`•� <br /> TOKAY�—COLONY �"POAD <br /> jJ 2ANY <br /> 9 <br /> 19.40AC A O O VI LA I <br /> QPM HOME DD, TO TOKAY COLONY <br /> 65 <br /> s e c a s ♦ --� — <br /> LIVE OAK- �— ~—•ROAD . <br /> rlf#•'/w�jeP p W <br /> aJ p :9 S <br /> I <br /> �1rll this project be self-installed? NO YES Contractor's License <br /> it y <br /> • U <br />