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COUNTY OF SAN JOAQUIN llate: 7 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> . cR# 0 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> LiCANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> ame APN(f 7 - - FEE DUE -1/E0 <br /> C/ .DATE DRIVEWAYS; <br /> s STREET'i cAee L Y <br /> QUAD <br /> City,State-lip code rOTORMs <br /> . W <br /> 5 Lcty .e/7 <br /> (Area Teleeep <br /> 2(22 <br /> 7 v 71 F4 <br /> 40 <br /> SITE IIQFQ TIN i- <br /> 8 20 <br /> Site Address <br /> •� C DRIVEWAY <br /> Ci ,State-Zi TYPE QUANTITY. WIDTHS <br /> e/-.5AGRICULTURE @ FRONTAGE <br /> (Arae Code)Telephone COMMERCIAL <br /> USTRIAL R/W <br /> lRMIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> 0TH: Ft. X WIDTH: Ft <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on.County Highway <br /> Right-of-Way on the Nor222N side of :3Ld.ekE1EX AW. <br /> City,State-Zip Code approxunately. mstailing mile 57- of <br /> .by <br /> (Area Code)Telephme <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 /> AOO—Tar npp\FormVkivmayraved f o tage - . <br />