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! COUNTY OF SAN JOAQUIN Date: G / K <br /> DEPARTMENT OF PUBLIC WORKS Received b <br /> CR# O <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APP CANT OFFICE USE ONLY <br /> 6A .111. <br /> -�u i r► JOB#11005 ISSUE DAT <br /> a <br /> me _T— APN i 7 - 642-d2 FEE DUF/ <br /> a� .DATE DRIVEWAYS: <br /> Address STREET �Sl.�i <br /> fes 4!!5 D-04 QUAD _ <br /> City,State-Zip Code TYPE_f " <br /> $ ORMS_&Z U7l� <br /> (Area Code)Telephone NOTE Al Id <br /> SITE INFORMATION <br /> Parcel 2wiFes Nam <br /> Site Address DRIVEWAY <br /> 'e; r j_/4'1 C& TYPE QUANTITY WIDTHS <br /> City State-Zip Code <br /> �q _ AGRICULTURE @FRONTAGE <br /> q� Z^�g Cf J <br /> (Area Code)Telephon COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVEDFRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to enc;=h on County Highway <br /> Right-of-Way on the UX4S7- side of A�Y _ <br /> City,State-Zip Code approximately -''�zX/T.�✓ of (,rbc&}TN <br /> by installing .2;W <br /> (Area Code)Telephone <br /> Work <br /> will commence 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 /> Aooess\Per ApplF—Mriv—ayPaved&ontage <br />