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-: Date:-f �—=— <br /> Q c . <br /> COUNTY OF SAN JOAQUIN Received by 2� <br /> =H oi= Pvauc <br /> 'S <br /> DEPARTMENT cR , <br /> DEPAR T M - , <br /> DRIVEWAYT FRoNTAGES <br /> IPAVED APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> i �� `�{��1����� 11005 ISSUE DATE <br /> n d' JOB ZZ FEE DUE <br /> ame / APN 607 DRIVEWAYS: <br /> �� a�_ l �/ i EXP. DATE I �'1 , 0 r� <br /> `Aodress L" 5 STREET le—lin QUAD/V, <br /> AREA <br /> CN.Sate-ZIP Code - 7 TYPE P, o <br /> t: FORMS SS <br /> (Area Cote)Te,ephone NOTE <br /> S1TE INFORMATION <br /> DRIVEWAY <br /> ?am <br /> rcei pHm=fs Nae WIDTHS <br /> QUANTITY <br /> TYPE � FRONTAD- — <br /> Si:e Address AGRICUL i URE <br /> l <br /> 11,1-i, ��� l ft -- comVIERCIAL RAN---- <br /> S. -Zip Code INDUSTRIAL <br /> RES'D=NCE <br /> (Area Code)Telephone l <br /> I <br /> CONTRACTOR PAVEDFRONTAGE <br /> t le / � - Ft. X WIDTH' —Ft. <br /> :: 1�L ' LENGTH: <br /> Name <br /> Address applies for permission to encroach <br /> The undersigned hereby PP n the �-d side of <br /> on County Highway Right-of-Way -�a"p-p'rrooxtmately <br /> City.State-Zip Code <br /> r2�OD �-°f ; <br /> (Area code)Telephone 0 by ins,ailing <br /> for approximately <br /> days. <br /> Work will commence on or about <br /> ESeparate sheet may be subml~ed) <br /> S_ TCH ( <br /> I -�•-'s License <br /> ;off to self-i^s'alled� <br />