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--'" COUNTY OF SAN JOAQUIN Date: ' <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# G <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APN�Z- 180-/ f C �� L✓��/^�' FEE DUE <br /> DATE DRIVEWAYS: <br /> JY Address STREET_='',eD, « <br /> ;)-2e-t /► ,Li cr- AiREA QUAD_ « <br /> City,State-Zip Code TYPE-- <br /> FORMS ORMS 5* d 7 <br /> (Area Code)Telephone OT <br /> - r 3 - 1 <br /> SITE INFORMATION <br /> Parcel s Name ' <br /> Sit ddress <br /> �. 37 =-s Z� DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> /v 2- AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL _ Q R/W <br /> RESIDENCE �— <br /> CONTRACTOR PAVED FRONTAGE <br /> Name LENGTH- Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the lkbw-O�W side of ZreOeS XZD. <br /> City,State-Zip Code approximately /SOa a X36_fs 'T of <br /> by installing �Lc? <br /> (Area Code)Telephone <br /> Will commence on or about for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> Access\Per AWFOrraWrivewayPaved&antage <br />