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COUNTY OF SAN JOAQUIN Date:/a <br /> OARTMENT OF PUBLIC WORKS Received by 7z <br /> DRIVEWAY & PAVED FRONTAGES CR# oa <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> e JOB# 11005 ISSUE DATE ! /_ <br /> AP 6-55 220 -3S' FEE DUE <br /> Address` EXP. DATE /T-*P;-1& DRIVEWAYS <br /> LZOJ' "i� STREET ,ARM 3TP-2A)a- IZ-OA9) ho, n t. <br /> City,State-Zip Coed^ AREA �ODT QUAD <br /> C� <br /> TYPE P 1VGcJ/(Y <br /> (A a Cod )Telephone FORMS' W/�ll =_1 r- <br /> NOTE : <br /> SITE INFORMATION <br /> Parcel Owner's Name DRIVEWAY <br /> Y� - !" <br /> Sitedress TYPE QUANTITY WIDTHS <br /> d i^ A �s}-�7/ AGRICULTURE @ FRONTAGE <br /> City,State-Zip Cod COMMERCIAL <br /> 3-- Cod COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> (Area Code)Telephone RESIDENCE <br /> CONTRACTOR <br /> J PAVEDFRONTAGE <br /> 1� <br /> a e LENGTH: Ft. X WIDTH: Ft. <br /> � d ess <br /> � Z The undersigned hereby applies for permission to encroach <br /> city,State-Zip ode on County Highway Right-of-Way on the 5,DaA side of <br /> � A wytSTea,�-, P20" approximately <br /> (Area Code)Telephone -7" feet>�ile GJESf of D,41/15-P-04-0 <br /> by installing oNE' 57:�2 De1Vr--wA-1 <br /> Work will commence on or about for approximately days. <br /> SKETCH (Separate sheet may be submitted) rSaC- <br /> /til i(. 1 ?o(o (.)J , K-67 Tire-" C,/Q) <br /> Lodi - q�-:p �2 — — — — — <br /> Ar�.s�� <br /> �! <br /> Wiii this project be self-installed? NO YES Ccntr2c;ors License <br />