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COUNTY OF SAN JOAQUIN Date: a /a3 /0(b <br /> DEPARTMENT OF PUBLIC WORKS Received by -�C, <br /> cRfl 9Z <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> ey--cti Y-a W t'_ JOB N 11005 ISSUE DATE <br /> Name APN 173_- 1&0 - 3?o FEE DUE$/&207 <br /> l.��q� D zj1 EXP.DATE DRIVEWAYS: <br /> Ai STREET S. EL. Dulil� S T • <br /> 1�a U SPAS �-/'i 95'ZiAREAfx r..t1i Cama QUAD Ste_ • <br /> City,State-Zip Cc& TYPE w4 ' <br /> FORMS 5.5/ <br /> (Area Code)Telephone NOTE go 0 <br /> SITE INFORMATION <br /> Parcel Owner's c�rrane ' <br /> 77// 5CZ LVX4.DL? ` 1 <br /> ,�. ' ai S Address RIVEWAY <br /> City State-Zip TWE QUANTITY WIDTHS <br /> 0 AGRICULTURE ®FRONTAGE <br /> (Area Code)Tel COMMERCIAL <br /> USTRIAL ®R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIL Ft. X WIDITL• Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Hig1may <br /> Right-of-Way on the :cl£S1 side of S. f100666b QST <br /> City,State-Zip Code Le7aly . mile 400 SottAt of Ce"6ay <br /> g,Zc,P, f 9A,by' &L; <br /> (Area Code)Telephone <br /> Work <br /> will commence an or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contraatoes License <br /> Aoo=kPer AppT0rm XivewayPaved frmtage <br />