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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF:PUBLIC WORKS -Re(xived by__12C, _ <br /> CRS��3�4`S6" <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONT"Y <br /> (­t�ql�"*(r r_'i Cv JOB#11005 ISSUE DATE <br /> Name APN Zl _-070 - 17 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> (a7 s C 3Z SAREATREET cA Mab QUAD 4457 <br /> City,State-Zip Code TYPE <br /> FORMS scs w141, e/7 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> e' A <br /> Parcel Owners Name <br /> 33oI & i <br /> Site Address <br /> A Aaf ej CA C 5,..�.)--0 DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> USTRL46L _ @ R/W <br /> RESIDENCE �— <br /> CONTRACTOR PAVEDFRONTAGE <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 9KMkTr P-�D � <br /> City,State-Zip Code approximately21w /mile SgcrTN of- <br /> by i <br /> f-by' ZW. <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 /> Acc—\Per AppTocm0riveway2aved f a#Aga <br />