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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PI-12 WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION cR#: 0 3 4-d <br /> 14-00006 <br /> APPLICANT � 4 0 000- OFFICE USE ONLY <br /> Name 45�n n ""C. fir <br /> Address: 3132.'7 .r '4 ~---_ JOB M 11005 ISSUE DATE: <br /> Ci ,State,ZJp Code: APN �S S �i FEE DUE: <br /> Area Code -Tele hone Number: EXP.DATE: DRIVEWAYS: <br /> STREET: S KIS <br /> SITE INFORMATION: AREA: Tvu c V D <br /> Parcel Owners Name: TYPE: 2���w,cls <br /> Site Address: w FORMS: <br /> Citv,State,Zip Code: NOT ES: <br /> Area Code -Telephone Number: rk1D 77 <br /> DRIVEWAY <br /> CONTRACTOR TYPE:- -- QUANTITY_ WIDTHS <br /> Name: AGRICULTURE: FRONTAGE <br /> Address: COMMERCIAL: <br /> City.State,Zip Code: INDUSTRIAL: @ R1W <br /> Area Code -Telephone Number. S5`� S�'7 1-Sq RESIDENCE: <br /> Ca4`�0'( V'CiN PAVED FRONTAGE <br /> LENGTH: =t. X WIDTH: Ft. <br /> The undo Igned hereby applies for permission to a cav te,construct andtor otherwise encroach on County Hi way Right off-Wa on the <br /> side of - approArnatety—7-0(2 ee tie <br /> of — by installingL caiA e6e ��r►I/ L-vvV5 <br /> ---- _ Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet maybe submitted) <br /> Will-ifs project be self-installed? 1'E8 - NO Contractor's License <br /> k11CFiJ[RN SERViC&SIG ERiCA14"UBSll.IUKU�ASTER.PSIEFJ4!? ACFiUENt <br /> PMMT bRM10 DOC tiQA 3j Paz.-i d:t <br />