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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 <br /> APPLICANT OFFICE USE ONLY <br /> Name: Z 1 <br /> Address: 72 In6)p5E JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: L APN 051—OU0136 FEE DUE: <br /> Area Code -Telephone Number: EXP.DATE: DRIVEWAYS: <br /> STREET: 0 <br /> SITE INFORMATION: AREA: Lop QUAD - <br /> Parcel Owner's Name: :106C TYPE: <br /> Site Address: 2 2 67, FORMS: SS ww _17 <br /> City,State,Zip Code: `1 ti NOTES: <br /> Area Code -Telephone Number. 7j <br /> DRIVEWAY, <br /> CONTRACT R TYPE: QUANTITY WIDTHS <br /> Name: CL10 AGRICULTURE: @Ff20NTAGE <br /> Address: V9.72- py COMMERCIAL <br /> City,State,Zip Code: � '^ INDUSTRIAL: @ R/VU <br /> Area Code -Telephone Number: 2-e)l 1 Z 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 NQS 4 yi'u yrS -Ad _approximately ,7 �� feet/mile <br /> of p ,by installing,' <br /> r <br /> commence on or about LWork will <br /> for approximately t days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> M:ICENTRALSERVICESICLERICALIPUB-SV.VJKIMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (09113) Page 1 of 2 <br />