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COUNTY OF SAN JOAQUIN Date: / 1 /A <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> Cx# Oa�R�q <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE / <br /> Name APN d;LS - 220 -__Z4_ FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> _-Addr sSTREET FG GA d ' <br /> / C5 L- t( ti cz_ AREA� e—j"I , QUAD L <br /> TYPE__11 Ci date-Zips ZLy�� ORMS T> <br /> (Area Code)Tel ho OTE <br /> C z� 3 � 02- <br /> i <br /> SITE INFORMATION <br /> Parcel Owne e <br /> S f sua i DRIVEWAY <br /> —1•� TYPE QUANTITY WIDTHS <br /> ty, <br /> Stat g-Zi Code�Z�C AGRICULTURE @FRONTAGE <br /> (AiFea�CNode Telephone / COMMERCIAL <br /> USTRIAL Q R/W <br /> hRESIDENCE — Z <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 Soal-A side of ,E/C Bmzr, A--, <br /> City,State-Zip Code approximately ,300' feet/mile Z46 of W IZAN ue- <br /> by installing <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 /> Acoess\Pea ApplFormlDriv—ayPaved kontage <br />