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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#: r f 3 96 <br /> APPLICANT OFFICE USE ONLY <br /> Name: u 5 l�frl�✓. <br /> Address: JOB#: 11008 ISSUE DATE: <br /> City,State,Zip CoderCk-I- L?� t. APN 101 12 7.7 FEE DUE: <br /> Area Code -Telephone Number. EXP.DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: <br /> Parcel Owner's Name: 94 TYPE: <br /> Site Address: 1 �, FORMS: 217 <br /> City,State,Zip Code: -t ClS 15 NOTES: <br /> Area Code -Telephone Number: &O— <br /> DRIVEWAY. <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: IV <br /> Area Code -Telephone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. j <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on the <br /> 141 side of 4�r v�py� approximately 1 5 rJ d feet/mile—�- <br /> Of �J j4l' 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 /> M:ICENTRALSERVICESyCLERICALIPUBSV.WKIMASTEP,PSIENCROACHMFM PERMIT DRWEWAY.000 (09113) Page t of 2 <br />