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COUNTY OF SALT JOAQUIN <br /> i <br /> DEPARTMENT OF PUBLIC WORKS R«,cei ved by«;.;Z# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE:DATE <br /> Name APN _Q- p3 FEE DUEJ/eG 0 <br /> EXP.DATR DM EWAYS: <br /> Address STREET <br /> p SogAREAL.Qrs�sQ� QUAD <br /> City,State-Zip Code TYPE 14w <br /> FORMS T 4W i -/7 <br /> ( Code)Telephone NOTE <br /> NO PAPE <br /> SITE WCtRYATION <br /> Parcel Owm es Name <br /> Site Address <br /> RIVEWAY <br /> City,State-Zip Code TYPE QUAN=. WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Codd)Telephone COMMERCIAL <br /> USTRIAL @ R/W <br /> rME110E ✓ <br /> CONTRACTOR PAVED FRONTAGE <br /> LENOTIE Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hcmbv annIiea for permission to c=oach <br /> jQ T &`ay <br /> Rigbt-of-Way on theside u <br /> City,State-Zip Code approximately, _ /,✓� _of_ � Aov <br /> by h <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 /> Ac cessTer AppTorm\DdvewayEaved&ar8age <br />