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DEPARTMENT OF PUBLIC WORKS CRO. <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DA <br /> Name APN 4JJ_-OGa _ 0'7 FEE DUE <br /> .DATE DRIVEWAYS: <br /> Address STREET <br /> �o7 <br /> Z' - QUAD _ <br /> �.2 S"`ZXd <br /> Ci ,State-Zip Code TYPE DW <br /> Al ORMS <br /> (Area Code)Telephone _ OTE <br /> STPE WORMATION <br /> Parcel Owncts Name ' <br /> Site <br /> as RIVEWAY <br /> TYPE QUANTITY• WIDTHS <br /> City, <br /> tate-Zip AGRICULTURE @ FRONTAGE <br /> (Area Code)Telepbone COMMERCIAL <br /> USTRIAL R/W <br /> 'RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTH Ft. X WIDTK Ft <br /> Name <br /> Address The, PWod buerm <br /> reby applies for pission to encroach can Flighvrey <br /> Right-of-Way on the VBA side of 9KWAdd9 <br /> ly , f?_o of <br /> City,State-Zip Coda _WlAe/11ie- by installing <br /> (Area Code)Telephore <br /> Work <br /> will eommenae 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 /> AccesslPer AppTormUkivewayPaved freotage <br /> • it <br />