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- COUNTY OF SAN JUAQuiN ,lULU._ � , � <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 429&13/ <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> APN f _-f,70 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET n�" <br /> 37K�j QUAD'_ <br /> City,State-Zip Code TYPE ->w <br /> ,0& ORMS WW. ie-17 <br /> (Area Code)Telephone OTE <br /> �r0 370 <br /> SITE INFORMATION <br /> Parcel Ownces Name <br /> Site Address DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY- WIDTHS <br /> nrraG G� AGRICULTURE @ FRONTAGE <br /> (Area Codc)Telephone COMMERCIAL <br /> tNDUSTRIAL .@ R/W <br /> IDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIL Ft. X W1 Ft. <br /> Name <br /> Address The undersigned hereby applies for parmisaion to-09.0 encroach an County I3ighway <br /> Right-of-Way on the_ i95—. side of 57; <br /> City,State-Zip Code awy0 dQxwife U rH of YCIPM <br /> .by installing 2>40. <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 I'M Contraot&s License <br /> AooeaslPa ApplFormlDrivewayPaved&nntage <br />