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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#: 63*5 �5 I <br /> APPLICANT OFFICE USE ONLY <br /> Name: r 1 R1 L <br /> Address: T. JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: a i7 ► r J-a3>i APN FEE DUE: <br /> Area Code -Telephone Number: f 0 - F-P/4 EXP,DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: yt QUAD N 60 <br /> Parcel Owner`s Name: , o r TYPE: IV <br /> Site Address: oo E R' FORMS: $ Z <br /> City,State,Zip Code: o_b 2C.?-Q NOTES: <br /> Area Code -Telephone Number:'&*- A.-go '_- <br /> FNA ._4N DRIVEWAY <br /> CONTRACTOR TYPE. QUANTITY WIDTHS <br /> Name::taw tic-. AGRICULTURE: @FRONTAGE <br /> Address: , 0 COMMERCIAL: 2 <br /> City,State,Zip Code: INDUSTRIAL: @ R/W <br /> Area Code -Telephone Number: Z /4 RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Thned hereby applies r permission to excavate,,wnstruct and/or otherwise encr on County Highway Right of Way on the <br /> side of b1�' ; '; f SKA• approximately fa*mile I <br /> of S- F ,by installing <br /> Work will <br /> commence on or about AiA w for approximately /U _days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? YES NO Contractor's License <br /> Y\FORMS d TEMPIATES',ENCROACHMENT PERMIT DRIVEWAY.d%!08M) <br />