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COUNTY OF SAN JOAQUIN Date: 7 <br /> DEPARTMENT OF PUBLIC WORKS Received b <br /> DRIVEWAY AND PAVED FRONTAGES CR# O <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> ��4 JOB#11005 ISSUE DATE <br /> V©An Name APN - _ FEE DUE OvP.b <br /> AIr EXP.DATE DRIVEWAYS: <br /> Address STREET (;O a �S AREA �4N-4c'm0 QUAD ij <br /> City,State-,2 ip Code TYPE 'TAW <br /> ORRIS 5S <br /> (Area Code)Telephone NOTE <br /> Sid <br /> a C srrE n�o�Tt01��F s <br /> P cel Owner's Name td <br /> ite��ess <br /> DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> 3IDENCE <br /> CONTRACTOR PAVID FRONTAGE <br /> FTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County pighway <br /> Right-of-Way on the side of <br /> City,State-Zip Code approximately t -feeC mil (AX of <br /> _ RoA3� by installing 'pW <br /> (Area Code)Telephone <br /> Will commence on or about for approximately days- Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> Aco=\Pcr APPTorm\Driv,%vayPaved frontage <br />