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COUNTY OF SAN JOAQUIN <br /> - R�:�;eivedby -- <br /> DEPARTMENT OF PLBLI:C WORKS C::#10 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLI OFFICE USE ONI;''- <br /> /1 S JOB#11005 LSU.-'DATE / / <br /> Name APN -73-- (o FEE:7UE <br /> 7 V (,b N .DATE DRI i'EWAYS: <br /> f <br /> S�QUAD <br /> s eta Address Asz 0 4 STREET <br /> �7Dc.�i-r <br /> CState-Zip Code TYPE ` <br /> 1j ORMS <br /> (Area Code)Telephone OTE <br /> SITE INFORMATION <br /> Parcel Owner's Name <br /> 7 7o N ` <br /> Site A q i;--z O b DRIVEWAY <br /> de TYPE QUANTITY WIDTHS <br /> City,State-Zip Co <br /> GRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> q q G USTRIAL O° R/c�T <br /> IDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH. Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission toeafr �h on Couaty Highway <br /> Right-of-Way on the side of GlJ.r/�'� 0::�, ,y.l <br /> City,State-Zip Code approximately feet/mile v5;0e1n�' of C 6. <br /> 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 /> Acoess\Per AppWormUkivewayEaved fiaitage <br />