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COUNTY OF SAN JOAQUIN Date: z <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# dZ8l64 <br /> PERMIT APPLICATION <br /> APPUCANT IOFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name N-�4p -(13�0 _ FEE DUE ]�SC <br /> Q .DATE DRIVEWAYS: <br /> AddressSTREET J/l <br /> C _ _ _Zsa or/ QUAD_5 <br /> City,State-Zip Code TYPE -2:71-0 « <br /> AI 95 3 � OR ST W, <br /> (Area Code)Telephone NOTE <br /> 2p� (,, Nd T/P <br /> SITE INFORMATION <br /> Parcel Chvwes Name <br /> Site Address <br /> 2�D EMIMEDRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> E5CA L OAJ CA ?539c) AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> TNDUSTRLAL @ R/W <br /> !RESIDENCE l— <br /> CONTRACTOR PAVED FRONTAQE <br /> Name LENQTIE Ft_ X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach op f MMty Highway <br /> Right-of-Way on the_ /o side of �/ . <br /> City,State-Zip Code Y O mile tewy ofi9 ,gyp <br /> by installing Zell.. <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 /> Aoc=\Per AMkFamU ivewaypaved ftnata®e <br /> IN <br /> C2 <br />