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COUNTY OF SAN JOAQUIN gate: 14. 1 1 1-1W <br /> Received by tr— <br /> DEPARTMENT OF PUBLIC WORKS CR# 0�q & <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE,��- <br /> Name APN 17 - 100 - O9 FEE DUE <br /> X42- AWlf EXP.DATE - DRIVEWAYS: <br /> Address STREET 1-00 NILS ?_QA' <br /> M Crl GA AREA `25TbC�L-16u QUAD <br /> City,state-Zip Code TYPE I O « <br /> FORMS i&4U - 17 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> Parcel Ownces Name <br /> Site Address <br /> ,5ct_ DRIVEWAY <br /> City,state--Zip Code TYPE QUANTITY. WIDTHS <br /> 20 3— 2 <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> VNDUSTRIAL R/W <br /> r1DENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The underagood hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the side of 0AYI S <br /> City,State-Zip Code approximately of fILe)Y <br /> by mal g <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> We we eome 1b Widen fihe 6f 5174 Sia'P ed 7*e west- dpi vrw.e y u%,fv <br /> fG\,Q s le wi fh 4W"K /So sF o6 /,-.r ve n t, W-e wi 6/ -x tc,ft 4 fete <br /> �Vistiti_J /Z GMP cu(��✓t /8 GFr Ste a,ffr�lco/ dr�v�-rs�_ <br /> Will this project be self-installed? _ NO YES Contractor's License <br /> Awm\Per App\FormWdvewayPaved fin tage <br /> C <br />