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- COUNTY OF SAN JOAQUIN Sp <br /> R, ;eiv.d by 'LtD <br /> DEPARTNffiNT OF PUBLIC WORKS <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION _ <br /> APPLICANT OFFICE USE ONLY <br /> FOB 11005 IS"jJE D1 ATE <br /> Name /41 - 456 - Q Z FEF;MTE, <br /> DATE DRP'�1AYS: <br /> ET <br /> Addre QUAD A-- ' <br /> �C cityStat?-Zip Code rTE� %26d <br /> 11'�p�� S Gry , /7(Area Code)Telephone / <br /> STfE iNFORMA ON <br /> ZEo <br /> t ane _. <br /> Site Addres c� DR1yEWAY <br /> TYPE QUANTITY. WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> 9 2 rZ COD14ERCIAL <br /> (Area Code)Telephone INDUSTRLAL @ R/W <br /> RESMENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTI: Ft. X WIDTH:-- It <br /> Name <br /> The undersigned hereby applies for permission to c awach m County Highway <br /> Address Right-of-Way on the FAQ side of_$OC ARI <br /> apprmdroately.; mile 15o U7W of AU0 <br /> City,State-Zip Code sT -by installing-2x') <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 /> AccessTer AppTorraMcivewayPaved frontage <br />