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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS <br /> DRIVEWAYS AND PAVED FRONTAGES Received By: <br /> PERMIT APPLICATION CR#: 49-W400 <br /> APPLICANT OFFICE USE ONLY <br /> Name: I a t <br /> Address: JOB#: 11005 _ ISSUE DATE: <br /> Ci ,State,Zi Code: Ck APN Gb7-2X,vo3 — FEE DUE: <br /> Area Code -Tele Telephone Number: EXP.DATE: DRIVEWAYS: <br /> STREET: zp <br /> SITE INFORMATION: AREA: QUAD <br /> �� <br /> Parcel Owner's Name: TYPE: <br /> Site Address: Li �. FORMS: <br /> City,State,Zi Code: NOTES: <br /> Area Code -Telephone Number. C'/. ; 7yg -01 g <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: R/W <br /> Area Code -Telephone Number: 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#Hiwa4y Righ�y on the <br /> side of 1,R iAVRA» � approximately�O G <br /> of . s9/fgAV A by installing 2 — <br /> commence on or about for approximately days. Work will <br /> SKETCH(Separate sheet may be submitted) <br /> Will this rnroieot ho Golf-installed? _YES NO Contractor's License <br /> V,FORMS&TEMPLATESENCROACHMENT PER)MT DRIVEWAY Cx(p&pg) <br />