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DEPARTMENTUlf Mrs'-1 1. wvtcna CR# Lel"_f ',).q Z <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DAT <br /> Name APN I?�- 1 to l - f(o FEE DUB PV X <br /> EE .DATE DRIVBWAYS- <br /> STREET S'T. ' <br /> S'Tor- A0QUAIX • <br /> v.` City,State-Zip Cod& r rTE <br /> X:/7 <br /> (Area Cod&)Telephone <br /> 5—3 <br /> SITE MORMATION <br /> Parcol Ownds Nam <br /> A, <br /> SiteAddress RIVEWAY <br /> City,State-Zip Code TYPE QUANTITY- WIDTHS <br /> AGRICULTURE <br /> (Am <br /> ®FRONTAQfi <br /> (Area Code)Telopbom& COIvIlNERCIAL <br /> PlIDUSTRL4L ®R/W <br /> ENCB <br /> CONTRACTOR PAVED FRONTAGE <br /> QTI Ft. X. WIDTH Ft. <br /> .Name <br /> Addroes The un dersWod bareby applies for permission.to enomach on.County KShway <br /> Riot of-Way on the 'c.�o side of T UTq :2r, <br /> City,State-Zip Codaapproximately•r 'T <br /> ,by insts 'D <br /> (Ana Code)Tdaphon.e <br /> wars <br /> :. will commence an or about for approximately days. <br /> SKETCH(Separate shoot may be submitted) <br /> Will this project be soli-installed? NO YES Contractor's Lioense <br /> Aco=\Pcr AppWbtmMdvawayZ&vod tiwbip <br />