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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: 05�2 <br /> APPLICANT OFFICE USE ONLY <br /> Name: G <br /> Address: �_= jo4�a, eco JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: La CA .Z ; APN06, <br /> 3 FEE DUE: <br /> Area Code -Telephone Number: 2-6,St./ EXP.DATE: DRIVEWAYS: <br /> STREET: �,4y Z'W'P/7y <br /> SITE INFORMATION: AREA: 'QUAD - <br /> ParcelOwner'sName: Uci6;(4cC TYPE: <br /> Site Address: •l o '+ 0c)1 v,1, 2_c FORMS: /7 w <br /> City,State,Zip Code: � At— C15-7-40 NOTES: <br /> Area Code -Telephone Number: 0 v j - t Z— S`­ v S <br /> DRIVEWAY. <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL.: <br /> City,State,Zip Code: INDUSTRIAL: @ R/W <br /> Area 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 encroach on County Highway Right-of-Way on the <br /> side of approximately_ feet/mile <br /> of by installing <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 /> A:ICEN RALSERVICESICLERICALTU&SV.MMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />