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- COUNTY OF SAN JOAQUIN Date:__/=+o /PQ <br /> __ <br /> DEPARTMENT OF PUBLIC WORKS Receiv<.d by SkiCR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> :]k"Aff <br /> JOB#11005 ISSUE DATE <br /> APN ZMZ- - o$o - 11 FEE DUE_-COO <br /> _ <br /> G EXP.DATE DRIVEWAYS: <br /> STREET V,r9s�Ko �A ; <br /> Addr9sn S 7 <br /> ---�- sty e (Z/i(p�C TYPE �& - — <br /> ORMSjA — <br /> (Area Code)Te ephone OTE <br /> S F0 TION <br /> 1 � 1 N <br /> 0 <br /> Site A40resS DRIVEWAY <br /> TYPE. QUANTITY WIDTHS <br /> C}ty e- GRICULTURE Q FRONTAGE <br /> aV CONNIERCIAL <br /> (Area Code)Telephone INDUSTRIAL - <br /> IDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTH Ft. X WIDTH Ft <br /> Name <br /> The undersigned hereby applies for permission to encroach on County Highway <br /> Address Right-of--Way on the V J� side of l-i9Gi�/to <br /> tely a 8i4�T of e',y� <br /> City,State-Zip Code by installing 7>W <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 /> AcowsTar AppWormOrivewaypaved fiedage <br /> �3 <br />