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COUNTY OF SAN JOAQUIN Date: <br /> <: Received by 2�e� <br /> DEPARTMENT OF PUBLIC WORKS CR# 0 30 ! I :Z <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 1100 ISSUE DATE <br /> Name APN 33 FEE DUE �U <br /> '—c�A S�.«•,,� DATE DRIVEWAYS: <br /> Address STREET <br /> C v4 Yt vQUAD : <br /> City,State-Zip TYPE T?-J <br /> C,& 9Sd�t-7 ORMS - <br /> (Area Code)Telephone NOTE <br /> w7r, �O,zz <br /> SITE INFORmAN t z ',o ye S 10,/ae- <br /> r...._�J cel CKvncfs e <br /> site=s eiS� DRIVEWAY <br /> n�'� TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> COMMERCIAL <br /> (Area Code)Telephone J]NDUSTRIAL @° R/VA <br /> SIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersignedherebya lies for permission to en oath p Co ty Highway <br /> Right-of-Wayothe side of <br /> appr . tely 5� e _of <br /> City,State-Zip Code ffG�P•a :by <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> ill this project be self-installed? NO YES Contractor's License <br /> AooessTer AppWorm0rivewaypaved&outage <br />