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COUNTY OF SAN JOAQUIN Date: 7 /B/ /D6 <br /> Received by <br /> DEPARTMENT OF PUBLIC WORKS CR# p R F8 Y <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> FOB1005 ISSUE DATE <br /> Name 0� - �0 -_`L7 FEE DUE <br /> ATE DRIVEWAYS: <br /> Address TAREA QUAD <br /> tate-Zip Code /t <br /> (Area Code)Telephone OTE <br /> SITE INFORMATION <br /> Parcel Owner's Name �P <br /> Site Address DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> 04t AM L!� CO1vIlvIERCIAI. <br /> (Area Code)Telephone INDUSTRIAL Q° <br /> (007) <br /> SIDENCE <br /> 96$ -/3�8 <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies far permission to encroach on County Highway <br /> Right-of-Way on the OSS f side of -/Ir4 <br /> approximately `700 ' feet/mile Sough ofC=reo►ns /'sol. <br /> City,State-Zip Code 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 /> Aecess\Per App\FormkDrivewayPaved frontage <br />