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COUNT'OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS F reived by <br /> C;2# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE = <br /> Name APN/03 -290 - i2 FEE DUE /BD <br /> DATE DRIVEWAYS: <br /> Address STREET—AodX ww A mNy i ' <br /> Z S�o N . QUAD A/C <br /> City,State-Zip Code TYPE ' T "D w I s <br /> S70G oFORMS 5 S/w w. R - <br /> (Area Coda)Telephone NOTE <br /> U <br /> SITE INFORMATION <br /> /U -z6o ,_/Z <br /> Parcel Own,ees Name <br /> Site Address <br /> ANA DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY. WIDTHS <br /> _ AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> R/W <br /> IDENCE T— <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIE Ft. X WIDTH: Ft <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on Caupty Highway <br /> Right-of-Way on the Alagrw side of ��-4A1 Aw <br /> City,State-Zip Code %vroAwatcly ?Ao mile we5r of 51 BLEY <br /> AJE. .by installing ?�J. <br /> (Area Code)Telephane <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 /> AcoesslPer ApplFam\DdvewayNved&mnage <br />