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- COUNTY OF SAN JOAQUIN Date: 12✓1� ZO O <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: D S ZC�6 <br /> P5- 13033 . <br /> APPLICANT OFFICE USE ONLY <br /> Name: <br /> Address: /o Yo vv JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: [o cam, v5aw APN fjj— I C-o—Z 1 FEE DUE: <br /> Area Code -Tete hone Number: 20`,,-�ov,5 EXP.DATE: DRIVEWAYS: <br /> STREET: (orndnck Rd <br /> SITE INFORMATION: AREA: QUAD <br /> Parcel Owner's Name: Ailhe No cL a (/ TYPE: _ SFR <br /> Site Address: 13:o5 c FORMS: S <br /> City,State,Zip Code: NOTES: <br /> Area Code -Telephone Number: 2 v`7 foo7 2 Y V 9 <br /> DRIVEWAY. <br /> - - - -CONTRACTOR - ---- -- — --- TYPE:---- - QUANTITY-- - WIDTHS <br /> Name: c� ,vr �f7L-eei5 AGRICULTURE: @FRONTAGE <br /> Address: 10610 COMMERCIAL: <br /> City,State,Zip Code: L- - C ee. y S 2 Yo INDUSTRIAL: RNV <br /> Area Code -Telephone Number: 00 4--0s 3yv RESIDENCE: ( 4 <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> P7 side of, �-�}�l ��Glc U approximately /_0 Z° feet/mile ( -EST <br /> of by installing d 4w <br /> Work will <br /> commence on or about ww 4 for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> L-C7 f--+ <br /> r <br /> � l <br /> Pil i <br /> „v�d9 <br /> Will this project be self-installed? YES ✓ NO Contractor's Licensed( q <br /> M:ICENTRALSERVICESICLERICALTUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT DRIVEWAYAOC (09113) Page 1 of 2 <br />