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,�..,.,,,�,,..a,,..,a."a.cw waa:�rraw•a...................o.-rr�_............__...._-_................,............ <br /> - 1. 1181 tla6uo awn•v.w as uw ray.+wwo�"'�'"1'Y <br /> and <br /> q•is tghalifiad to represent the owth9t,and _ <br /> 2. -n t lj,*,isthe olmw of the respective Property, X180 tett af9he work descalod above,WIU&MY <br /> 3. Mut he/she will assume fall reapansj ty tint all�y ftP �or d n r to ProPCOY <br /> or whichmay arise art of blather nature to do the waalcpc ided here and &%:64 ha shall <br /> 4. Tlmt intbe event any claim of suchUability Is made agai 2*Cm ty Sim ar snY dsPar4ase�.o err 08 <br /> dd,,A kdemaify and holdthem and each of tlhmn bumblers for such claing and <br /> W at the above indicated site <br /> S. MIA welt"U be pedo med by the gVhc*and/or any reps of&0 si&cxsrt inthe Coady Rigbt of- sy <br /> with avalid San Joaquin CoUtY Fawmdmsd Pem it;and wD9�ailans,le000dat6ons and restriction this and any <br /> 6. Tbht if Permission is goaded as requabte4 Le agrees to do the wads described in accardasaoe <br /> amched�sb*kam"Las.swerat a special III prune' t <br /> Date <br /> S afmffim t-'PCBs <br /> FUMM VISPECTOR CONMG7M <br /> 7»»»»»»»»»»»»»»»»»}»» COMMONS«««««««««««««««««««« <br /> DR�EWAY: Naos ❑ Orsvd ❑ ° <br /> Base [] Paved(Pow) C] paved(t3ood) Ely SLOPINGc AQaytrom PavemmEl Towm&Paveavnt ❑ Fist <br /> t <br /> 3:PlPF.B:. Nene EAoft-Type <br /> Olh�piPes in Yes Cl No A,,.h,s Ckoes Dtaiu ❑ Stu l_� <br /> Aftacbmat toy Yes ❑ No <br /> 4.g$ADWALL- Yea ❑ No' <br /> z.AMIFALT OONC -Yea ❑ No, <br /> 6�.BARR1l8R9 aldaSHigbsc�R►ay <br /> 1. DTPCH <br /> Yee ❑ No IfYes:• V Style ❑ 2 Point ❑ Othw ❑ Width - Depth <br /> »»»»»»»»»>........... »»»»»»»PERbI<Ti`REQUMEMEM <br /> <z««««««««««««««<z«««« <br /> OOD CIAIi. ❑ AI3RWMTU" ElINDUSTRIAL Cl <br /> L DRIOEVPAY: SFR A <br /> PAVED with. _"Thdm.Depth A.C.over. Lr m X3/4"AJ& <br /> Natae <br /> 2. PIQ!&8e QfPk- <br /> Ft.and Dian*bw cf Pipe Inch <br /> Tobe.00aoe�toanyadiaoa tddvemYPipe Yee El.No <br /> DRAINAI3E DUM REQS MMD Yes 0 No <br /> TOW Lmgtih: (widh pWosed) Total Nwnber of 960=:Dsmlm Iae <br /> Notes <br /> 3. HFADWALL Yes Q No <br /> 4. FAV®FRONTAgE: PAVF•D with - "Vie.Depth A.Q over "hMw Depth 3/4"A.R <br /> �uieasuring Fed in 1mg6 and Fed in width <br /> F=9Driveway Faaoaclmhemt <br /> Pamit base See ._.:...:.. . ..: ._.585 <br /> Field inspection 5100.0 .46/8 <br /> ❑ Drivewa a/orw/o _595.00 ❑PawdSt'mt*V__..._ <br /> Y pipe......... __ _...5300.0 <br /> ❑ Drivcmyw/boxculvaR._.__....__......................._.... $155.00 <br /> cmmtmlCampi l c:\Aocess\AppUcation for p4mgWor yamy <br /> and Paved FmudaBe Pa8s.2 of 2 Ravlsed 8/2000. <br /> \ ,\ <br />