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Datcl A d G <br /> COUNTY OF SAN JOAQUIN Received by <br /> DEPARTMENT OF PUBLIC WORKS CR# D <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> APPLICANT JOB#11005 ISSUE DATE <br /> nS _O - FEE DUE <br /> Name DATE _ DRIVEWAYS: <br /> � -- STRF�T � f1✓E <br /> Address 57 o r_wm 1 QUAD <br /> TYPE +�W <br /> Ci ,State- ip /' ORMS '9.S W W <br /> icy -�'� ��✓/ —� <br /> pelepnone OTE <br /> S r INFORM JLI I N I / <br /> ff'J'' <br /> Parcel s Name <br /> Site Address �T�+ RNEWAY WIDTHS <br /> v�t� `j TYPE QUANTITY. <br /> State- ip C � (}RICULTLTRE FRONTAGE <br /> I COMMERCIAL. @ R/W <br /> (Area odc) lepbone USTRIAL <br /> SIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> G1T� Ft. X WIDTH Ft. <br /> �• �J' �`�e�—'��`• �u���`j►•� The undersigned hereby applies for permission to encaoaeh on County FEghway <br /> Address Right-of-Way onthe 6094.-sr" _side ofansteDuJE • <br /> f sly 3 <br /> Ci ,State-Zip lling <br /> ,, .by insta �'r <br /> !.-A- <br /> (Ar )Telephone <br /> Work <br /> dal <br /> will commence on or about for approximately <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> Aooessl AppWormUk ivewayEaved frmtage <br />