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r. I <br /> COUNTY OF SAN JOAQUIN Date. <br /> DEPARTMENT OF PUBLIC WORKS Recei ed by <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERMT APPLICATION <br /> ?�PFLIP,ANT <br /> OFFICE USE ONLY <br /> C�iY�'Li a JOB 0 11005 ISSUE DATE <br /> lit G C<y APN FEE DUE <br /> A !ss ISTREET �,,p,�y G�9 DRIVEWAYS: <br /> vDATE <br /> !`4rsjz <br /> AREAd�J Y <br /> City S QUAD 56 <br /> e-Zip Code TYPE i..J <br /> —2, <br /> (Area Code)Telephone ORMS <br /> SITETION-� <br /> _ P cel Owner's Name <br /> c� Site d e�ss <br /> DRIVEWAY <br /> City,State-Zip Code 7 <br /> TYPE QUANTITY WIDTHS <br /> San W C<X cam ; GRICULTURE @ FRONTAGE <br /> (Area Code)Telephone CON MEERCIAL <br /> INDUSTRIAL @ R/W <br /> SIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> Name <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> __ :::I Right-of-Way on the t ST- side of_4.9C4"4�y W.4 <br /> City,State-Zip Code approximately J'2 -fee-1 of l wu.1r, <br /> by installing <br /> (Area Code)Telephone <br /> will commence on or about for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AccessNPer App\Form\DrivewayPaved frontage <br />