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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> QIOVEWAYS AM PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: <br /> APPLICANT OFFICE USE ONLY <br /> Name:e2&Ixe f <br /> Address:_ JOB# 11005 ISSUE DATE: <br /> city,Aft 45P Cce: APN - o — FEE DUE: <br /> Area Cade -Telephone Mmber: ?,m4. EXP.DATE: DRIVEWAYS: <br /> STREET: <br /> SITE INFORMATION: AREA: UAD ` <br /> Parcel Oil's NWW,LJAAW4TYPE: - -- <br /> FORMS: <br /> CRY <br /> +'N+G11R� .. .s NO.F.ES: <br /> Area Cade -T <br /> •4104- Ut,. DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY I WIDTHS <br /> Name; AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,ate, Code: INDUSTRIAL: R/W <br /> Area Code -Telephone Number. RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The underskjned tweby applies for permission to excavate,construct andtor otherwise encroach on County Hi way Right-of-Way on the <br /> > � side of 1 ' approximately -� a � <br /> of I&W /7'C::P by installing f_7Z1u 3 <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH( sheet may be subbed) <br /> i <br /> Will this project be self-installed? YES NO Contractor's License <br /> AkVCBiT {PU"V.MU4STER.PSIENCROACHAIEN7 PERW DF4VEMY.QQC (1010.9) Page 1 of 2 <br />