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COUNTY OF SAN JOAQUIN Date: 7" 2`-2<�O <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: 03g 74-1 <br /> cDW]Ot(CANT OFRrF USE ONLY <br /> Name: <br /> Address: 14S' G JOB#: 11005 ISSUE DATE: <br /> Ci ,State, ip Code: elx,l inKi.- APN Zoe_I jo_ I�� FEE DUE: <br /> Area Code -Telephone Number: -ZZ EXP:DATE: DRIVEWAYS: <br /> STREET: �s .�u�,�q ,tea <br /> SITE INFORMATION: AREA: + / QUAD <br /> Parcel Owner's Name: ,.5 PE; <br /> Site Address: n t FORMS: 617 <br /> City,State,Zip Code: . e-7 s-3zo NOTES: <br /> Area Code -Telephone Number: SZ t - Z Z. Z <br /> DRIVEWAY <br /> CONTRACTO TYPE: QUANTITY WIDTHS <br /> Name: `-'_ t V1 t>A-Z-x_\Aej AGRICULTURE: I @FRONTAGE <br /> Address: I COMMERCIAL: <br /> City,State,Zip Code: I INDUSTRIAL: @ R/W <br /> Area Code -Telephone Number: RESIDENCE: <br /> 317 tom,`G rc�y �• / L PAVED FRONTAGE <br /> �d LENGTH: Ft. X WIDTH: Ft. <br /> Thp undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County y Right-of-Way on the <br /> side of_ iGsc3-8cr�q 2a� approximately 1200 <br /> of t �2bg �Q�j. by installing �J <br /> commence on or about— for approximately days. Work will <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> Y tFORMS 8 TEMPLATESENCROACHNENT PERMIT CRWEWAY.d.!0&[9) <br />