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COUNTY OF SAN JOAQ!UIN r'Nftte: 'Z <br /> Zeceived by_ JG✓ <br /> DEPARTMENT OF PUBLIC WORKS <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERNIIT APPLICATION <br /> OFFICE USE ONLY <br /> APPLICANT <br /> ��� ����, "� JOB#11005 ISSsUE DATE 7_ <br /> ame APN UGd - oG <br /> FEE DUE /& <br /> v / - DATE 92iVEWAYS: <br /> STREET ,�N�EZ �E'a4� <br /> Address - L u cK�z�y QUAD AAE <br /> AREA <br /> TYPE D lit/ <br /> City, tate-Zip Code rTE <br /> S /�� (Area Code)Telephone <br /> SITE <br /> INFORMATIO13 <br /> Pa <br /> Wei Ov7fs <br /> S'e Address DRIVEWAY <br /> Gr TYPE QUANTTTY WIDTHS <br /> Ci ,State-Zip Code AGRICULTURE @ FRONTAGE <br /> COMMERCIAL R/V�T <br /> VVV 111 (Area Code)Telephone ]INDUS @ <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 <br /> Right-of-Way on the 5 oris side of f�4d iN - <br /> approximately L feet/r�3 L7 of <br /> City,State-Zip Code ,by installing <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 /> Aoo=Ter AppTorm0rivewaypaved ffoatap <br /> 1� <br />