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COUNTY OF SAN JOAQUIN Date: <br /> by 3 /a(o <br /> DEPARTMENT OF PUBLIC WORKS Received <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERAHT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name N,�Lol_- -DRO - (oZ FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> Address STREET ��� <br /> ��cc kola r G-43U f AREA_.._.___. QUAD 56 ' <br /> City,State-Zip Code TYPE t <br /> `fFORMS e 17 <br /> (Area Code)Telephone NOTE <br /> ITE INFORMATION <br /> f/31`AL1 C ParcelOwnes Name <br /> . �, �S'te Ad �s� <br /> RIVEWAY <br /> City,State-Zip Code TYPE QUANTITY. WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRLAL _ @ R/W <br /> IDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENOT11 Ft. X WIDTH: It <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the d.er* side of .6129 <br /> City,State-Zip Code aPPrwe fly.; of <br /> by insta AZAJ <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 YES Contractor's License <br /> Acce-Ter App\FormlDrivewayEaved frontage <br />