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T COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by-__ <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0 q26— <br /> PERMIT APPLICATION <br /> APPIX <br /> „ - S�� OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APN e /9- 1 qD_ FEE DUE f 80•oa <br /> DATE DRIVEWAYS: <br /> ttiss STREETAREAS RD <br /> s <br /> CLEME= <br /> City,State-Zip Code TYPE —QUAD_.ALE _ s <br /> s <br /> (Area Code)Telephone OOTE- SS t.Jt P_-I'1 <br /> SITE INFORMATION <br /> Parcel Ownefs Name <br /> Tr- A-411-166. <br /> / Site s DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> USTRIAL Q R/W <br /> IDENCE <br /> 4_ T TOR PAVED FRONTAGE <br /> GTH <br /> Name Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on Cownty Highway <br /> ;._V✓© Right-of-Way on the X side of_ ATk!LS kb, <br /> itY,State-Zip Code aproximtel <br /> Y !j o U-r'k of 'ST+9,M FLc'pE <br /> C_T by' DW <br /> Area Code)Telephone <br /> will commence on or about Work <br /> for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AooesslPcr App'Fam\DrivawayPavrd ffnatage <br />