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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 029 (,/O <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICAI�Tf OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APN 08.7 - 122 - _ FEE DUE /8o.o c� <br /> DATE DRIVEWAYS: <br /> .Address STREET ow ; <br /> �5 7, SCdG KTOy QUADUL <br /> City,State-Zip Code TYPE JA6x -- <br /> t <br /> CA ORMS�� <br /> (Area Code)Telephone OTE <br /> o fo3 <br /> SITE INFORMATION <br /> ooK. <br /> Parcel Owner's Name <br /> y <br /> Site Address DRIVEWAY <br /> CA TYPE QUANTITY. WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/VfT <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTFi Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned Hereby applies for permission to encroach on County Htghway <br /> Rigbt-of-Way on the L4-X'5'� side of t4c>meg 4✓6 <br /> City,State-Zip Code approxdmately' �� f -5 '� of <br /> by installing. <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 Contmt&s License <br /> Acom\Per AppTb=\DdvmayPaved fiagage <br />