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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS 3eeived by__ <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> V JOB#E 11005 ISSUE,DATE <br /> Name APN 2U'-/9-0_ FEE DUE_ <br /> DATE o t Ii a-t DRIVEWAYS: <br /> Address STREET Ca rn��►`E X AL7 ' <br /> S 3 Za <br /> t-5 GU►�-�-C t� Q.at M AN T E cA QUAD�. • <br /> City,State-Zip Cade TYPE_�i,.� <br /> L a)O ORMS �S��1g <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> C LLc <br /> arcel Owner's Name <br /> CO"A Lo AJ <br /> Site Address,S 3 3 DRIVEWAY <br /> !M**-* ' t M A C `T TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> 0 <br /> (Area Code)Telephone COMMERCIAL <br /> USTRIAL G R/W <br /> IDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way ou the U.4 ST side of C V�. CQ. J E X ':;.'D <br /> City,State-Zip Code approximately 120 O feet/mi36 N O R-TH of N w V l 2.0 - <br /> by installingy W <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days- <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AcoessWer AppWormlDtiv—yPaved frontage <br />