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DEPARTMENT OF PUBLIC WORKS <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPUCANT OFFICE USE ONLY <br /> f-k JOB 111005 ISSUE DATF' <br /> Name APN 17 3 - Z'5-6 _ FEF.DUE_J�/73— <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET Si NGLA)Q 616. <br /> CF* `i����� AREA ImS'rack'ToAl QUAD • <br /> City,State-Zip Code TYPE 7547 <br /> -2c,90 . - L I" 0 ORMS1 Ay l7 <br /> (Area Code)Telephone NOTE <br /> SrM INFORMATION <br /> Pared Owners Name <br /> Site Address <br /> CA DRIVEWAY <br /> City,9tate-Zip Code TYPE QUANTITY. WIDTHS <br /> -1 c °�� �{- ? --p AGRILMMIRE ®FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> PIDUSTRLAL ®R/W <br /> • IDENCS <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIE Ft. X WIDTH: Ft. <br /> Name <br /> Address The wd"Ap2ad hereby applies far peamiasim to encroach on County highway <br /> Right-of-Way on the LCAST _sw of Smole4 <br /> City,State-Zip Codexi��h' Z� Sou�-.y of .e!!� <br /> by installing DLU <br /> (Area Code)Telephone <br /> Work <br /> will commeaoe on or about for approximately days. <br /> SKETCH(Separate sheet may be submi#4 <br /> Will this project be self-installed? NO YES Contracts license <br /> A-=AP-Ap fformUkivmwayPaved fioatalp <br />