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COUNTY OF SAN JOAQUIN Date42L/!7 /D' <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 0 ag zq 19 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> P ANT k OFFICE USE ONLY <br /> i '% 44_,e, Alt-r� JOB#11005 ISSUE DATE <br /> Name APN ?� - IeO-_70- FEE D <br /> `t J. S. EXP.DATE DRIVEWAYS: <br /> Address STREET IZX,&Vr 2D. <br /> ilk w G.. 0c:• .1 o –'rgf►Gy QUAD "> <br /> Chy,State-Zip Code TYPEit� <br /> FORMS snT/1u—. L-V, �� 7 <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION <br /> saw Q d A <br /> Parcel Owner's Name <br /> Site;address / <br /> S. l –�40 J P a/r-- DRIVEWAY <br /> City,State-Zip Code - TYPE QUANTITY WIDTHS <br /> 7-1^ e 14 CcA , !? S AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> RESIDENCE <br /> @ R/Vf� <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 side of i2EFVC reJ>. <br /> City,State-Zip Code approximately AtOerH of L1PRQ, <br /> by installing Mk) <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 /> Accew\Per AppTormOrivewayfaved&outage <br />