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,�,v. J�►� P & L CONCRETE Fax:2098381448 Aug 28 2009 12:09pm P002/002 <br /> C©UNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS —~`� <br /> G�--' <br /> DRIVInWAYS AND PAVED FRONTAGES Received By: <br /> PERMIT APP.L.ICATION CRO: <br /> APPLICANT OFFICE USE ONLY <br /> Mame• <br /> Address: � �/rQ JOS#: 11005 !MUE DATE: <br /> C ,State,ZI Code: �u a APN p_i _— FEE DUE: <br /> Area Code -Tele hone Number: EXP.DATE: DRIVEWAY& <br /> STREET: <br /> SfTE INFORMATION: AREA: QUAIDSC J <br /> Parcel owner's Name; �° r ,/n TYPE: . <br /> _Site_ Address: 7- 9 FORMS: �. �� <br /> Cft ,state Zi Coder NO7j;$; <br /> Area Code.-Telephone Number: Z,0S— _ f <br /> DRIVEWAY <br /> TYPE: QUANTITY WIDTHS <br /> Name: IAG"RICUITlJA . @FF,ONTAGE <br /> Git,y. <br /> Address: COMMERCIAL: <br /> State Zl Code; ihlDUSTRIAL: plW <br /> Area Code Tele hone Number: RESiDENGE: <br /> PAVED FRONTAGE - <br /> LENGTH: Ft, X WIDTH: Ft <br /> The undersigned hereby applies for permission to excavate,oonMruot and/or otherwise ancroach on County Highway Rlght-of-Way on the <br /> side of approximately <br /> cf feetr'mlle <br /> by installing^ _ <br /> CM Mane on or about for approximately days Work will <br /> SKETCH (Separate sheet may be submitted) <br /> f <br /> i <br /> I <br /> Will this project be self-lnsialfed r --YES 1140 Contractor's License <br /> v1F01s,�c i'£bIPLi11E9ENdiWfCM1�NT PERy!T dINFwAr.ax faNOG; <br />