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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS Paid V-40-11" <br /> Received By: C <br /> DRIVEWAYS AND PAVED FROTTAGES <br /> PERMIT APPLICATION CR#: s 3 6 <br /> APPLICANT OFFICE USE ONLY <br /> Name: 134YAv <br /> Address: 3451 Sst 20 co v JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: ��uc--- '4ayz APN Z l 2 Z(7 17- FEE DUE: <br /> Area Code -Telephone Number: (-x;f,i 16,i. rs- EXP.DATE: DRIVEWAYS: <br /> STREET: i(T of p d <br /> SITE INFORMATION: AREA: nAX — QUAD <br /> Parcel Owner's Name: AAA',) TYPE: <br /> Site Address: W A/ <br /> City,State,Zip Code: G,q S3 GG NOTES: <br /> 4ea Code -Telephone Number: 2•1 /,oZ . P'fYY <br /> DRIVEWAY. <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> dame: ��Z ,U 6Er� - dw�/Fi� /i�i�ocn AGRICULTURE: TC—a,FRONTAGE <br /> kddress: COMMERCIAL.: <br /> ,it State,Zip Code: INDUSTRIAL: @ R/W <br /> Irea Code -Telephone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise:encroac on aunty Highway Right-of-Way on the <br /> _ 4 Z side of 114,T4 approximately_ feet/mile _ <br /> --1 r/Pl, �/ ,by installing <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Jill this project be self-installed? YES NO Contractor's License <br /> CENTRALSERVICESICLERICALTUB-SV.WKWASTER.PS%ENCROACHMENTPERMIT DRNEWAY.DOC (09113} Page 1of2 <br />