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COT NTTY OF SAN JOAQUIN ?ate M <br /> DEPARTMENT OF PUBLIC WORKS :2,'cei;ed by <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONM( <br /> JOB#11005 ISSIM DATE <br /> Name APN 0 o? -3?6 <br /> S - !�- FEE DUE <br /> DATE Z-17-a7 DRIVEWAYS: <br /> qS STREET__ Frp—w kbs IrDAD <br /> AREA EscALoAl QUAD �F <br /> Cxkoc> City,State-Zip Code C�,j5-2-0 TYPE mW : <br /> a7o ORMSaTW, ie 1-7 <br /> (Area Code)Telephone NOTE <br /> (2€z� 4--1 q <br /> SITE INFORMATION <br /> Paul Owners Name <br /> Site s <br /> DRIVEWAY <br /> City,State-�Zi,P Code TYPE QUANTITY. WIDTHS <br /> C Exl, c-'N AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> USTRIAL @ R/W <br /> 4-1 o 3�( (-p !RRSIDENCE —�-- <br /> CONTRACTOR PAVED FRONTAGE; <br /> GIH Ft. X WIDTH:_ It <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the iyoierw aide of 2LUAi2D5 <br /> City,State-Zip Code approximately z(; _ weyj—_of_ e A MV M/- <br /> by instt <br /> (Area Code)Telephone <br /> will commence on or about for approximately days. work . <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AocwTer AM\Form\Drivewaypaved&vatage <br />