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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORDS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> mcrr <br /> APN aQ1--�- FEE DUE <br /> �l/ EXP.DATE DRIVEWAYS: <br /> STREET <br /> �� ,9�s9oo QUA <br /> City,State-Zip bode TYPE " <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> SITE RMA O h /( <br /> arcel s �e C1 <br /> b?.. <br /> Site Address DRIVEWAY <br /> Ci e-Z�Code TYPE QUANTITY WIDTHS <br /> G AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL. @ R/W <br /> SIDENCE <br /> C PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> IN e <br /> r � �ehl <br /> ( The undersigned hereby applies for permission to encroach on County highway <br /> Address Right-of-Wayon the side of !'.�/ff�i7"N dJ� <br /> prQ <br /> approximately /� a �C7A- of � ' 1 A7r <br /> C' State-Zi <br /> Code <br /> l� b installing Du) <br /> - � -a 1 y <br /> (Area Co )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 /> Acc=\Per AppwormorivewayPaved frontage <br />