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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# d <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATA <br /> Name APN fX� -!Z=- FEE DUE,b 73 <br /> �A t.1 YV1 A G, ✓� ►'�-e t�L EXP.DATE DRIVEWAYS: <br /> Address STREET <br /> QUAD �E <br /> City,State-Zip Code TYPE <br /> W001b13gt.13 G.E ca, q FORMS GU.� <br /> (Area Code)Telephone NOTE <br /> 1,09- 369 - &2ss <br /> SITE INFORMATION <br /> Parcel Owner's Name <br /> C0S6,k4rlu -0 W1N4axy <br /> n/ Site Address DRIVEWAY <br /> ( tet&9 CL 6 r'1 em r S TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> 1�l ri r( E COMMERCIAL <br /> (Area <br /> X <br /> (Area Code)Telephone INDUSTRIAL @ R/W <br /> rESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> 1�y p T Ca S ICS E T�0�s I bc LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> F,.0, V2 b)c 104-1 <br /> Address The undersigned hereby applies for permission to encroach on County highway <br /> l.� � � i i) G ss S S 1��-- Right-of-Way on the WEST 'de of CC.0 ME 1�5 12-D. <br /> City,State-Zip Code approximately 1 mil /✓o. 'H of fiei92/6'e <br /> 2 o el — 349— 9'1-T by installing ;DIA) <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 /> Aocess\Per Apfform\DrivewayPaved frontage <br />