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COUNTY OF SAN JOAQUIN `e% :_ /C-' 1 o4e'oG <br /> _�f_;c:ved by <br /> DEPARTMENT OF PUBLIC WORKS <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSET-DATE. / <br /> Name APN /y3 - - /dam FE1-3 DUI, <br /> ULEXP.DATE DIONEWAYS: <br /> Address STREET CHARGES ST- <br /> l V Q leru t-J <br /> City,State-Zip Code TYPE <br /> FORMS _ <br /> (Area Code)Telephone OTE _ <br /> _ SITE INFORMATION <br /> L/1 ?u Lr'/74 <br /> Parcel Ownces Name ' <br /> Z C <br /> Site Address <br /> � � DRIVEWAY <br /> Cu State-Zip Code TYPE QUANTITY. WIDTHS <br /> -11-5S6' tAGRICULTUREFRONTACIE <br /> (Area Code)Telephone COMMERCIAL <br /> VNDUSTRL46L @ RAV <br /> IRPSIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGUE Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the 64Ler side of e-ovh s ST: <br /> City,State-Zip Code aPPm ly.r 7 57 t t*vs&,zz: of 14empi-T' <br /> by installing Z?i k3 <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 /> A-=\Per App\FormOrivemyRaved fiDdage <br /> 3 <br />