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COUNTY OF SAN JOAQUIN Date: 7 "/_L� <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> - <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERMIT APPLICATION <br /> fAPPLICANT OFFICE USE ONLY <br /> L�L l Lw� JOB# 11005 ISSUE DATE <br /> Name APN JV-p Qo -I!, FEE DUE /90.,2P <br /> EXP.DATE DRIVEWAYS: <br /> A ess STREET T�.t— /tb�r <br /> C A QUAD WS <br /> City,State-Zip Code TYPE <br /> 7FORMS -! <br /> (Area Code)Telephone NOTE IF <br /> S ORMATION <br /> ah elQ�f� Ail <br /> P rcel Owner's Name <br /> Dei <br /> Sitess <br /> �\ppll9p DRIVEWAY <br /> City,State-Zip Code TGRICULTURE QUANTITY WIDTHS <br /> (Area Code)Telephone COMMERCIAL <br /> ]INDUSTRIAL @ R/W <br /> IRESIDENCE <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 E/9 side of ZLG.Ao0ke ' <br /> City,State-Zip Code approximately 205- e uTitr _of }/J9ZEGToN <br /> by instdMg D <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 /> Aec—Ter AppT mr\DrivewayNved&+outage <br />