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COUNTY OF SAN JOAQUIlN Laie:_w r i •- r <br /> DEPARTMENT OF PUBLICWORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES cR# <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> _!��c)Lo JOB#11005 ISSUE DATE <br /> ame1,63 -:Z6 -�2 FEE DUE D <br /> i C. . EXP.DATE DRIVEWAYS- <br /> Address STREET MaWnv 74AW <br /> L0rvXL4n/ QUAD /VE <br /> City,State-Zip Code TYPE DuJ <br /> FORMS S Ww <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> Patel Owners Name <br /> f Site Address <br /> Lj t_v6 C.-A 5 ZDRIVEWAY <br /> CiV,State-Zip Code TYPE QUANTITY- WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> YNDUSTRIAL @ R/W <br /> NESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTTi Ft. X WIDTH: Ft <br /> Name <br /> Address Ile unders4p ed hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the //ser* side of_ �lGA/O 3! 1,*A1 <br /> City,Stake-Zip Code aPPr te1Y so feet!mile sp sr- of ,C_c i a )2D. <br /> .by installing V"-) <br /> (Area Code)Telephone <br /> Work <br /> will oommenoe on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's Lioense <br /> AQaava�Pa ApplFotmlDrivewayPaved tnoatage <br />