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'` "�`�� f COUNTY OF SAN JOAQUIN Date: � — / S <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: T �- <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: S 14 6 <br /> 51 ,f 00 7Z <br /> APPLICANT OFFICE USE ONLY <br /> 3s: 7�_ y E,1;1/ 12JOB#: 11005 ISSUE DATE: <br /> tate,Zip Code: -i P�l'J C `S:3 APN Z' FEE DUE: <br /> :ode -Tele hone Number: 'Zv H - yCl Wil- 1i 0 G i EXP.DATE: ��� -( DRIVEWAYS: <br /> STREET: a <br /> SITE INFORMATION: AREA: 04 QUAD - <br /> Owner's Name: TYPE: <br /> (dress: FORMS: S <br /> :ate,Zi Code: CI Pr7/J C/� , '� >3 NOTES: <br /> ode -Tele hone Number: <br /> DRIVEWAY, <br /> _ CONTRACTOR TYPE: QUANTITY WIDTHS <br /> `T oi,1'v AGRICULTURE: @FRONTAGE <br /> Alc 1/-'16, COMMERCIAL. <br /> ate,Zip Code: /9 7 INDUSTRIAL: @ RIW <br /> Ide -Telephone Number: 2e,F - Ti 5_L, RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> indersigned hereby appliesfor permission 11 excavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> side of 000 approximately_ Q(7, feet/mile.. <br /> 6 (11by installing_ <br /> ence on or about fora <br /> approximately— days. Work will <br /> TCH(Separate sheet may be submitted) <br /> project be s - <br /> projelf installed. YES NO Contractor's License <br /> ERVICESICLERICALIPUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT ORIVEWAY.DOC (09113) Page 1 of 2 <br />