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COUNTY OF SAN JOAQUIN Date: to -lo - ('L <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: l rrl <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: S 2.4 9 <br /> APPL CAN OFFICE USE ONLY <br /> Name: (,!^ c< U <br /> Address: 3,o /— S 411'-- 91 . C" e JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: 1":7 7- `jS cz APN 1$1 06(2 41 FEE DUE: <br /> Area Code -Telephone Number: 2,574- G,ra —S C s— EXP.DATE: DRIVEWAYS: <br /> STREET: Ka r s e lr �r <br /> SITE INFORMATION: AREA: Sfiak-F „ QUAD $� <br /> Parcel Owner's Name: , L TYPE: <br /> Site Address: . — '1, //,1 �` �-�' FORMS: 5 14/ <br /> City,State,Zip Code: 6;�1;57 t . NOTES: <br /> Area Code -Telephone Number. 2 0 <br /> DRIVEWAY. <br /> CONT CTO TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: 21 INDUSTRIAL: @ RNV 12 <br /> Area Code -Telephone Number: RESIDENCE: Z <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encrV on County Highway Right-of-Way on the <br /> E side of r-ct 65 er' approximately feet/mile <br /> of1MW17Q0.Sq by installing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> App I�cant srgnofarY <br /> Will this project be self-installed? YES NO 6 <br /> ' <br /> M:%CENTRALSERVICEMLERICAL\PUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />