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Kecetven oy ley <br /> DEPARTMENT OF PUBLIC WORKS �. a---- <br /> s <br /> DPNEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Nsme APN 177 - /00 FEE DUE <br /> Siegfried Engineering, Inc. EXP.DATE DRIVEWAYS: <br /> Address STREET FRaEntCh GA M P RD. • <br /> 4045 Coronado Avenue AREA 0AAMTEC.A QUA'—_ s <br /> City,State-Zip Code TYPE « <br /> Stockton, California 95204-2396 FORMS 1 .17 <br /> (Area Code)Telephone NOTE <br /> (209) 943-2021 <br /> SITE INFORMATION <br /> Parcel Ownet's Name ` <br /> Ace Tomato Co. , Inc. <br /> Site Address <br /> 2771 E. French Camp Road DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY. WIDTHS <br /> Manteca, California 95336 AGRICULTURE @FRONTAGE <br /> (Area Coda)Telephone CONIIvIERCIAL <br /> VNDUSTRL4L (a3 R/W <br /> (209) 982-5691 1RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> 0TH: Ft. X WIDTH: Ft <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Wayonthe North Adeof French Camp Road <br /> City,State-Zip Code aPpm ly�' 1500 featfMO East of Union <br /> Road .byinstalling A rural commercial driveway <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about 0 6 7g 2 0 0 6 fora ximatelY 2 <br /> PPS days- <br /> SKETCH(Separate sheet may be submitted) <br /> See the attached plans. <br /> Will this project be self-installed? X NO YES Contractor's License <br /> AccemTer App%Form d-awayZavcd fiot-ge <br />