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COUNTY OF SAN JOAQUIN Dater <br /> DEPARTMENT OF PUBLIC WORKS Received <br /> by <br /> q <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERNM APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> f 11 JOB#11005 ISSUE DATE <br /> Name APN 24T- 1-40- 14 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> ss STREET <br /> - �ScAton/ QUAD�_ <br /> i Stat TYPE ) <br /> FORMS I yr <br /> — 7 <br /> (Area )Tel one OTE <br /> SITE INFORMATION <br /> PTv <br /> J <br /> 'te A s <br /> DRIVEWAY <br /> City,State- TYPE QUANTITY. WIDTHS <br /> Zip Code <br /> AGRICULTURE FRONTAGE <br /> Area Code)Telephone OMMERCIAL <br /> USTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH:- Ft. X WIDTH: Ft. <br /> Name <br /> 7Address The undersigned hereby es fos permission to encroach on County highway <br /> Right-of-Way on the aide of P IP6 <br /> City,State-Zip Code approximately 5270 mike of 19/L 1dC. <br /> by installing �2 <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 /> AcoessTer ApplFormUkivewayPaved finntage <br />