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COUNTY OF SAN JOAQUIN ate:/Q__ <br /> OPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY 8 PAVED FRONTAGES 0 CR# /Og670 <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> Name JOB#.11005 . ISSUE DATE <br /> n 0 <br /> Aq ` QU1L APNZ� =-/ y _ i� FEE DUE <br /> �Ssj 0 9 �r < � <br /> Address EXP ,DATE / - l-°lGr DRIVEWAYS <br /> �SC4�Oh Cq. q,�-.7zfl STREEToiv '�"L,fi� ,rs'. := <br /> cny,State-Z//ip Code AREA, sc,�► a:tel QUAD �[T t� <br /> X19 �3oo_ <br /> (Area Code)Telephone FORMS $ <br /> NOTE <br /> :. <br /> SITE INFORMATION <br /> Parcel Owners Name DRIVEWAY <br /> 0 cc I Coyer Ree �� — WIDTHS <br /> Site Address TYPE QUANTITY <br /> Q Q k l A1� l Lj�j AGRICULTURE FRONTAGE <br /> City,State-Zip Code <br /> COMMERCIAL <br /> 201— S'7 7— 37 0 INDUSTRIAL @RIW <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 56W--� side of <br /> Goxr &�' approximately <br /> (Area Code)Telephone /So Q= eet mile sl of <br /> 2�_5 ew , by installing <br /> Work will commence on or about for approximately days. <br /> SKETCH (Separate sheet may be submitted) <br /> �6LR� <br /> Will this project be self-installed? NO YES Contractor's License <br />