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- COUNTY OF SAN JOAQUIN Dade: <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: C.ZSZ SZZ-- <br /> APPLICANT OFFICE USE ONLY <br /> Name: 1 k PLATE:A0 <br /> Address: 2 o 022, t). SOl. LE's OA JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: AC&M 130 CA 2 APN ���`l-1416, FEE DUE: <br /> Area Code -Telephone Number: - Z - EXP.DATE: DRIVEWAYS: <br /> STREET: Ck- <br /> SITE INFORMATION: AREA: QUAD <br /> Parcel Owner's Name: INQ` 1; TYPE: v <br /> Site Address: 21o02Z1Q• S01. LES ISO FORMS: <br /> City,State,Zi C.{�1 <br /> Code: MPb C.A. 5220 NOTES: <br /> Area Code -Telephone Number:Mci 4 -000-2- <br /> DRIVEWAY, <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name:T " F—I I7 AGRICULTURE: @FRONTAGE <br /> Address: bA 5016 COMMERCIAL: <br /> City,State,Zip Code: SAk—: INDUSTRIAL: @ RIVV <br /> Area Code -Telephone Number: RESIDENCE: �. <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to Wcavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> side of approximately c7 e mile <br /> of �' �� J, by inst Ailing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> M:%CENTRALSMMCEMLERICALTU&SV.WKWASTER.PS\ENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />