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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#: S 7 U <br /> APPLICANT OFFICE USE ONLY <br /> Name: Z I/— <br /> Address: 87 Z lne)?:SE JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: APN 051 X0-36 FEE DUE: <br /> Area Code -Telephone Number. EXP.DATE: DRIVEWAYS: <br /> STREET: L,t,0P1%C-- R,a, <br /> SITE INFORMATION: AREA: LaD% QUAD - <br /> Parcel Owner's Name: C AiW TYPE: �tiJ <br /> Site Address: 2 e�4 FORMS: SS—W vi —17 <br /> City,State,Zip Code: Ln NOTES: <br /> Area Code -Telephone Number: <br /> DRIVEWAY. <br /> CONTRACTQR TYPE: QUANTITY WIDTHS <br /> Name: GRICULTURE: @FRONTAGE <br /> Address: y9//- COMMERCIAL: <br /> City,State,Zip Code: r '�� INDUSTRIAL: @ R/W <br /> Area Code -Telephone Number: 2�`f ? Z — RESIDENCE: D� <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 /> 5,3v(F-1., side of d 4- 34U V_' e � _approximately ,� 19 feet/mile <br /> of by installing <br /> Work will <br /> commence on or about for approximately l days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> M:ICENTRALSERVICESICLERICALIPUB-SV.WKiMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />