Laserfiche WebLink
COUNTY OF SAN JOAQUIN Date: 7 / —`t"/ <br /> Received by <br /> DEPARTMENT OF PUBLIC WORKS CR# o <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> 70B#11005ISSUE DATE <br /> pe <br /> Name APN 007 - /7 -0 a4 FEE DUE /� <br /> �4,� . EXP.DATE DRIVEWAYS: <br /> Ad(�jfess/) STREET QUAD <br /> #— <br /> AREA <br /> TYPE <br /> City,She-Zrp9Co�ea f <br /> ���,�,D� , s FORMS J.[1Lti <br /> ( a Code)Tel hone OTE <br /> Y� 14 –/ <br /> S l O TION /E S /OC /2 "� <br /> Pare 1 Owner's ti <br /> i <br /> Wtate <br /> dr ss DRIVEWAYTYPE QUANTTTY WIDTHS <br /> City, Zip Code AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL <br /> J RESIDENCE <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 boy side of ,6emdor f ,ed. <br /> approximately 900 I feet/mile ,East of <br /> City,State-Zip Code by installing fit--) <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 /> Aooess\Per Apff ormoriv—ayPawd&outage <br />