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COUNTY OF SAN JOAQUIN Date: /_/ %1•14'�-_� <br /> Received by <br /> DEPARTMENT OF PUBLIC WORKS <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> F#1 ISSUEDATEName - FEE DUE <br /> ° DRIVERIAYS: <br /> Address STREC - <br /> -� Od✓.�1) ,�� TR QUAD <br /> City,State-Zip C <br /> TYPE <br /> Grp, <br /> n <br /> (Area Code)Telephone OTE <br /> SITE INFORMATION <br /> �atool owners Name <br /> L <br /> 2—-3 QUANITPY <br /> Site Address Code DRIVEWAY WIDTHS <br /> �� <br /> TYPE @ FRONTAGE <br /> ity,S to-Zip AGRICULTURE <br /> -T-440-VC ;e7.5-���ll COMIURCIAL <br /> — Area Code))Telephone IINDUSTRLAL tai R/W <br /> IDENCE X <br /> CONTRACTOR PAVED FRONTAGE <br /> Cry Ft. X WIDTH Ft. <br /> Name <br /> The undersigned hereby armlies for permission to encroach on County Highway <br /> Address Right-of--Way on the_ C--F S-"r side of -V S I(2 E L A S <br /> approximately 6 C�_ feet/ao— g o U-rN oz R e%>c t—J M DR <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 shoot may be submitted) <br /> Will this project be self-installed? _ NO YES Contractor's License <br /> AooenTer AppTorm\DrivewayPaved frontage <br />