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COUNTY OF SAN JOAQUIN Date: i i ' 'L / <br /> z DEPARTMENT OF PUBLIC WORKS Received -, _. <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> 1 APN 113 - o - O FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET ,U,ei"1y �E7- <br /> AREA QUAD S 5 <br /> City,State-Zip Code TYPE -T:;'e,0 <br /> 4�; or- FORMS e/7 <br /> (Area Code)Telephone NOTE <br /> -2 9 <br /> SITE ORMATION <br /> Parcel Ove s N e <br /> Site Address RIVEWAY <br /> —, TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> VNDUSTRIAL @ R/W <br /> rESIDENCE <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 on the side of F+cYi.CTJ`/ t97— <br /> City,State-Zip Code approximately mile L-062DE of-&,)Jq&AIEr_ <br /> by installing 7>. . <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 /> AccesslPer App\FormlDrivewayEaved frontage <br />