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COUNTY OF SAN JOAQUIN <br /> • 2�,� <br /> DEPARTMENT OF PUBLIC WORKS ::ot;eived by <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> PjTc,6NT#e /' / NLY <br /> 6ylu (p �9-A JOB#11005 OFFICE USEIS SUE DATE, <br /> Name APN 0t 7 - - Zo FEE,DUE ,ez <br /> r <br /> EXP.DATE DRIVEWAYS: <br /> re <br /> ss STREET f/9� i�Z7. • <br /> -) lew AREA A,6,oJ 0 QUA_&1 j) <br /> City,State-Zip Code TYPE VGU <br /> FORMS = v, !7 <br /> Area Code)T lephone OTE <br /> O . 2- 8 .. <br /> SITE INFORMATION <br /> Owner Name <br /> Si <br /> Ad s DRIVEWAY <br /> City,S e-Zip Code TYPE QUANTITY- WIDTHS <br /> 0 AGRICULTURE @ FRONTAGE <br /> (Area Code)Te ephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIE Ft. X WIDTH:_ Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County_Highway <br /> Right-of-Way on the 0x-*'7N side of kl* -T' M <br /> City,State-Zip Code aPPro Lely feat _ rr of GttERaKfe <br /> am zM .by installing c). <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 /> Aooess%Per ApplFormlDdvewayPaved f adage <br />