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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#: <br /> AHIJULANI OFFICE USE ONLY <br /> Name: koqnq r07-Ruc i 10.J <br /> Address: Po 80X %7o JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: -5 o0iCr0A/ C Gj 0 S APN S � �) _ FEE DUE: <br /> Area Code -Telephone Number: rzzql q6 Z-26 F I EXP.DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: F� q�� QUAD• SE <br /> Parcel Owner's Name: c E /1ccC TYPE: t+J <br /> Site Address: PROZ Q4+9 FORMS: Q <br /> Ci ,State,Zi Code: g53�D NOTES: <br /> Area Code -Tele hone Number: <br /> DRIVEWAY <br /> CONTRACTOR - -- - TYPE: - - -- - QUANTITY -. WIDTHS <br /> Name: 90 L4119 7g y np- AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: K <br /> City,State,Zip Code: INDUSTRIAL: <br /> Area Code -Telephone Number: @R[W <br /> RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies forpermission to excavate,construct and/or otherwise encroach on County Hi hway Right-of-Way on the <br /> NcRTi4 side of eapS /Zorn approximately 3 fee rye VJES7 <br /> C,4Q -- , rscacDnl CA by installing- A Cpyc&CM I&Ivew.4y <br /> AfQoX. 26 10F wITN 20' d DE 4A?Oys <br /> commence on or aboutWork will <br /> for approximately 3 days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES 1' NO Contractor's License Iq V6-Sq <br /> M:ICENTRALSERVICESICLERICALIPUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />