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COUNTY OF SAN JOAQUIN Datei�r /03 /p6 <br /> by <br /> DEPARTMENTReceived OF PUBLIC WORKS CR# � (� <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> �AV CP/-f —7-7 ,"'/0 hJ JOB# 11005 ISSUE DATE <br /> e APN OY1_- //O - Y-2 FEE DUE I c� <br /> 47 G,0 EXP.DATE DRIVEWAYS: <br /> �ess STREET CR l T C-14 M Aa AB ' <br /> L-lr( C_ a�t7C -Mflc4 QUAD 5u7 <br /> City,State-Zip Code TYPE ALJ <br /> C V (_/19 cV G z FORMS IOLU. te• i 7 <br /> (Area Code)Telephone_ OTE <br /> 70 2 -lr 6 <br /> SITE INFORMATION <br /> /2 �' <br /> Parcelis Name <br /> dJ c,OL� //f�✓fir✓ <br /> Site Address <br /> yrs ,Qr 7c/o/ev, DRIVEWAY <br /> City,S e Zip Code TYPE QUANTITY. WIDTHS <br /> CAGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> NDUSTRIAL @ R/W <br /> -2o.7— 2 F I RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: 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 lJi- side of C�/rC%V e f7 lgy& <br /> City,State-Zip Code approximately 6 © feet/mile <z- 6"+ @d of <br /> by cost !Z 7&'XL. <br /> (Area Code)Telephone ! E S!S`1rf '4rr�'ji — t72 d <br /> -ale 7leaRp n <br /> Work <br /> will commence on or about _ 06 for approximately <br /> SKETCH(Separate sheet may be submitted) <br /> 6 10 <br /> r , <br /> o P e- 4V td <br /> J% <br /> L vcv2r- <br /> Will this project be self-installed? NO _YES Contractor's License <br /> Aoccw\Per Apff orm\DrivewayPaved&outage <br />