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COUNTY OF SAN JOAQUIN Date: 7 / 210 lO(o <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# /,7,.2q <br /> PERMIT APPLICATION <br /> LI�ARNT (� OFFICE USE ONLY <br /> JOB#11005 ISSUE DAT <br /> Q Name 1_ APN�-1�2- 3/ FEE DUE ;7 5 <br /> .DATE DRIVEWAYS: <br /> ss � STREET c�.Gtav►f � •_ <br /> QUAD <br /> /�� pp��tat �Z�1�Code TYPE ?i't.J # <br /> " 3c"7-�'rl _ ORMS_ w"y. X/_> <br /> (Area Code)Telephone NOTE <br /> ORMATI <br /> "ell /,,,eol <br /> -f <br /> �p <br /> 1��PaQoae <br /> (_, T c <br /> s' dar <br /> a�3 DRIVEWAY <br /> i i Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> SIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on.Cour}'Highway <br /> Right-of-Way on the Aly.4TN side of ��4s�AtT7' 1�D <br /> City,State-Zip Code appy gmatcly �.. ee �, _ 'Figm" of 7Xi.S7'�I(J <br /> 1eT�. ,by installing t_U J <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 /> Ac—\Per ApplFot M iv—ayPaved frontage <br />