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COUNTY OF SAN JOAQUIN Date:1__i of%J l �!J <br /> Receive, by <br /> DEPARTMENT OF PUBLIC WORKS CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPilOWT OFFICE USE ONLY <br /> /�) ! JOB#11005 ISSUE DATE <br /> N 1 K / APN /03 _ 070 - FEE DUE_.2!/r-.—e-o <br /> EXP.DATE DRIVEWAYS: <br /> ess �`>I`2 STREET �Ti�i �/Eif/L/F <br /> AREA <br /> 5 fLC.ETo�/ QUAD <br /> City,State-Z' Code TYPE :;P,71 <br /> ._ `` �����L FORMS <br /> (Area Code)Telephone pTE <br /> SrMJNFOWI� ON <br /> Parce pegs Name ' <br /> Site,,d ss <br /> C LL DRIVEWAY <br /> Ci S e-Zip Code TYPE QUANTITY WIDTHS <br /> 2-U2 ��j Z AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL _ @ R/W <br /> RESIDENCE �— <br /> C04; ACTOR PAVED FRONTAGE <br /> -7 VLC ll p"I ' LENGTH: Ft. X WIDTH: Ft. <br /> ess _ The undersigned hereby a lies for permission to encroach on County Highway <br /> Right-of-Way on the V,eTH side of 4.Dfl AL15A1&E <br /> C' State-Zip Code approximately feet/mile 44,=S7- of STAT/VA/ <br /> 7— ,by installing �GJ <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 /> Aooess\P-App\Form\Driv—ayYaved 8nntage <br /> \ q <br />