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" E APPLtG , <br /> *tirxt included in this application are correct to the best of <br /> td resp iYe.l r r +' aogdtompresentthe owner;and <br /> 2. <br /> 3 44 1w1a;injury or damage to property which may arise out of the work <br /> w provided herein;and <br /> 4, � � ko h of San Joaquin or any department,official or employee <br /> . b'such claim;and <br /> y <br /> of the apliccatir in the County Right <br /> 5. -of Way at the above <br /> 8 That dp# desodbed in accordance with all terms,condition and restriction <br /> prns, <br /> 1. DRIVEWAY QAgVVJ08M 0 Paved(poor) [] Paved(good) ❑ <br /> 2. SLOPING: 'AftOWIP060014, <br /> 3. PIPES: Ft77 Goss Drain ize 1, <br /> 4. HEADWALL: YW 0 l <br /> 5. AWALT ONG,R <br /> 6. BARRIERS; 4aY <br /> 7. DITCH: Yes ftY , <br /> Width Depth <br /> » »�� »s�. ��ayais««««««««««««««««««««« <br /> #. DRIVEWAY: , <br /> Ptd v , A.C.over "Nein Depth 3>d"A.B.over <br /> Notes: <br /> w <br /> 2. PIPES: Length of Pipe Requira <br /> Ft,and Diameter of Pipe �.2 inch(es) <br /> To be a wt py r dri p Yn o' <br /> lle# <br /> � <br /> Total Lam: ( psi Total Number of Storm Drain Inlets: <br /> Notes: <br /> 3. HEADWALL YesE] No <br /> %in k} A.C.over °Min Depth 3/d'A.B. <br /> 4. PAVED FRONTAGE: Paved ? Feet in width <br /> Measuring Feetin Jeno and <br /> »>3>»>>yy>>>>>>>>>y>}>>>>,,>y�>>>> >>>>>>>y>>FEES<<<c«««««««<<<<<<«««««««««««« <br /> Driveway EnoMdyr*r#Perm base <br /> F'e d lns ection �* Paved Frontage $108,00+0.50/ft. <br /> Im Driveway � <br /> wt OT w/o p ip a � Duro,Gutter,Sidewalk X105.00+1,03/ft. <br /> Driveway w/box Culvert <br /> 00 <br /> Y:MFM&TDAPEATWNOIDA�KNT MMM 0MVMy dab WK - <br />