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COUNTY OF SAN JOAQUIN Date: 7 / 7 / v� <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# T7 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY 7 6� <br /> JOB#11005 ISSUE DATE <br /> Name APN /7 - 09Z- 6 Z FEE DUE $ Ago Z� <br /> � M - > EXP.DATE DRIVEWAYS: <br /> 'k Address STREET # <br /> ( � G 3,fwAREA �-����t� � QUA <br /> City,State-Zip Code - TYPE D%A J <br /> ,U 15 11.5 FORMS <br /> (Area Code)Telephone NOTE tZ-l 2E� &�cu <br /> SITE INFORMATION <br /> Parcel er's Name <br /> _! s1 612ra - <br /> Sit Address DRIVEWAY <br /> 3 W TYPE QUANTITY WIDTHS <br /> C't State- ip08 AGRICULTURE @ FRONTAGE <br /> D�---b� �y��--!� 1/ <br /> (Area Code)Telephone COMMERCIAL <br /> �ND@ R/W <br /> rESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the L side of 9O) 'iia,,,4--,:li,- <br /> City,State-Zip Code approximately 13 a e /mile So u4-h of M Un 1•iro( �cf <br /> by installing Dw <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 /> AccesslPer AppTormOrivewayfaved&outage <br />