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COUNTY OF SAN JOAQUIN 3,;,;ei cd by <br /> DEPARTMENT OF PUBLIC WORKS F! 1' '7-�—�'� <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMPT APPLICATION <br /> APPLICANT OFFICE USE ONI v' <br /> � k N FJOB#11005 IS�'E: DATE <br /> �- r0_ FEF;I�UE /wName URI`IEWAYS: <br /> o. X t c7DATE EET �,o ! ---- <br /> GS63 QUAD---- <br /> City,State-Zip Code rEj4� - -7 S- v.(Area Code)Telephone IV <br /> -- <br /> SITE INFORMATION <br /> pafeelOwner'sNameZ� <br /> 1. Coll, 2 <br /> Site Address DRIVEWAY <br /> n r=. 11-IN — TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> Zoe .2 L4 <br /> COMMERCIAL <br /> (Area Code)Telephone INDUSTRML @ RAV <br /> ENCE L/ <br /> CONTRACTOR PAVED FRONTAGE <br /> G1T3 Ft. X WIDTH:- Ft. <br /> Name <br /> �- The undersigned hereby applies for permission io encroach on County Highway <br /> Address Right-of--Way on the ScP side of <br /> approximately,, a'9oZ cx .AST of 0777 <br /> City,State-Zip Cc& by' ;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 /> Acoess\Per AWTormOrivewayPaved frottage r�- <br />