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COUNTY OF SAN JOAQUIN Date: 2-,q- <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: -�� <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> Name: Charles Lindsay c/o Verizon Wireless <br /> !j <br /> Address: 2009 V street JOB# 11005 ISSUE DATE: <br /> State,Zi Code: Sacramento, CA 95816 APN 2 i(����jb.-,�1_ FEE DUE: <br /> Area Code -Telephone Number. (916) 217-1804 EXP.DATE: DRIVEWAYS: <br /> i STREET: Kwc,�,- <br /> SITE INFORMATION: AREA: sca"kC-:2) QUAD <br /> ParcelOWner'sName:Ken Morrill TYPE: ao <br /> Site Address: 24754 E. River Road FORMS: ln� <br /> �Gity,State,Zip Code: Escalon, eA 9320 NOTES. <br /> Area Code Telephone Number. <br /> DRIVEWAY. <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: T-B.n. AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: @RiW <br /> Area Code -Telephone Number. RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: FL X WIDTH: Ft. <br /> The undersigned hereby app Ais for permissionlexcavate,construct and/or otherwise encroach on County Highway Ri ht-of-Way on the <br /> ,AI .� side of i�1 approximately 1/2 fe mi e <br /> Of by installing �t�l prtr� <br /> Work will <br /> commence on or about Z s o / for approximately 6D days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? X YES NO Contractor's License <br /> MICEMMSERVICEMCLERICALIPUM.WIM4ASTERPSIENCROACHMENTPERMIT ORNEWAY.DOC (OW13) Pagel of2 <br />