Laserfiche WebLink
COUNTY OF SAN JOAQUIN Date; August S,2015 <br /> DEPARTMENT OF PUL1C WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CRP <br /> APPLICANT OFFICE USE ONLY <br /> Name: City and County of San Franc sm <br /> Address: Po Box tso JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code:Mocaasln,CA 85347 APN (f t1W FEE DUE: <br /> Area Code -Telephone Number.los-ses.2014 EXP.DATE: DRIVEWAYS: <br /> STREET: CNR.aSMAtJ ez. <br /> SITE INFORMATION: AREA: —ro-A�,Y QUAD --- . <br /> Parcel Owner's Name: city and county of San Francis= TYPE: RR Iy6wo N AL0940t. <br /> Site Address:35151 S Chrisman Rd FORMS: AVOW de—'121� <br /> City,State,Zip Code: UNTR(Tracy),GA 95377 NOTES: <br /> Area Code -Telephone Number:209-989-2014 <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: Applicant Installed AGRICULTURE: @FRONTAGE <br /> Address:Po sox.iso COMMERCIAL: <br /> City,State,Zip Code:Moccasin,CA 95347 INDUSTRIAL: @ R/W <br /> Area Code -Telephone Number.209-989-2014 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 /> Westem side of 75151 S Chnabm Road approximately 0.10 mile smile south <br /> ..... <br /> 0f W VemaNe Road d S Chdsmen Road Intersection 37.83281-121.3978 ,by installing <br /> —40 foot Access Road Entrance and culvert pipe drainage. See attached Design drawings,"Chrisman Road Gate and Driveway Access"July 23,2015. <br /> Work will <br /> commence on or about Seplemlw 21.2015 for approximately 30 days. <br /> SKETCH(Separate sheet may be submitted) <br /> See attached Engineering Drawings, "Chrisman Road Gate and Driveway Access" July 23, 2015 <br /> Will this project be self-installed? ® YES NO Contractor's License N/A <br /> X DOCPOACIREz9S.+,Ystr Ftv-ra-Tv:ps.wskNCf:pRCNA dt P�?.;,5f ON4-MAY 2r M3) <br />