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COUNTY OF SAN JOAQUIN nate: <br /> PARTMENT OF PUBLIC WORKS . Received by <br /> tVEWAY 8 PAVED FRONTAGES CR# �� C <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> Name JOB #,.11005 ISSUE DATE / <br /> (� D O FEE DUE <br /> l fi APN QZ// <br /> Address EXP DATE fZ d! DRIVEWAYS <br /> STREET - <br /> city. <br /> TREET City,state-Zip Code AQUAD��(f_ <br /> TYPE <br /> 1 Jd , <br /> FORM ; <br /> (Area Code)Telephone S --,— <br /> NOTE'. . <.. <br /> SITE INFORMATION <br /> —�)I X1 <br /> �J <br /> Parcel Ownefs Name DRIVEWAY <br /> 1k -- WIDTHS <br /> She Address TYPE QUANTITY <br /> AGRICULTURE FRONTAGE <br /> Cit,State-Zip Code -- COMMERCIAL <br /> INDUSTRIAL R/1N <br /> (Area Code)Telephone RESIDENCE <br /> J CONTRACTOR <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> ;7e <br /> ss� <br /> The undersigned hereby applies for permis ton to encroach <br /> City,State-Zip code on ounty Highway Ri ht-of•Way on the side of <br /> `�' approximately <br /> (Area Code)Telephone ' ,_ �4b/mile of 0 , <br /> by installing <br /> �( for approximately (O(� days. <br /> Work will commence on or about (� '- ' <br /> SbCETCH (Separate sheet may be submitted) <br /> Will this project be sett-installed? NO YES Contractors License !l <br />