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COUNTY OF SAN JOAQUIN ^a`c:_'_:' "I�P o <br /> :2e;eive d by, S <br /> DEPARTMENT OF PUBLIC WORKS <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> VN <br /> #11005 ISSUE DATE <br /> Name oc$ - 14 6 - � FEE DUE I_V <br /> DATE DRIVEWAYS:ss i EET <br /> '�C(� Z �l L.41ac,v�c� �`X .�n�Po _QUAD jV�'� *— <br /> City,Stete';JEIP Code TYPE — <br /> u-c G Qt 5 -2 U ORMS 5 W 1, - <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> Parcel Qw s N'7 <br /> ddre s RIVEWAY <br /> L Z L 1,e� . TYPE QUANTITY. WIDTHS <br /> City,State ip Code, AGRICULTURE <br /> @ FRONTAGE <br /> 6-",4 L D 1 G' C 2 2 v COMDAERCIAL <br /> (Area Code)Telephone USTRIAL Z _ @ R/W <br /> IDENCE <br /> aG , 3G4.. f3b -3 5 r— I <br /> PAVED FRONTAGE <br /> CONTRACTOR <br /> LENGT11 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 5b side of Ci,1_? <br /> City,State-Zip Code approximately lap ' GO I-Ree C eS7- _of <br /> Et1�zcE ,tiy� . ,by installing_„�t..l . <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 /> Aocess\Per AppWormlDrivewayPaved&untag. <br />