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COUNTY OF SAN JOAQUIN Dater, <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> fLinn APPLICANT ISSUE DATE dSu _ JOB#11005 <br /> L Name APNQb� -Z so - i8 FEE DUE <br /> 1/��}I • �hAKt id• EXP.DATE DRIVEWAYS: <br /> 1� Addres STREET \Auhs� F opv <br /> / CAmwO CA 4 S Z 4 VLr � QUAD V6 <br /> City,State-Zip Code TYPE `ts Q <br /> FORMS <br /> (Area Code)Telephone NOTE <br /> �e n Lih 'o so <br /> ON -e ma,.; <br /> Parcel Owner's ame <br /> l0 3 y 1 E • 'Sahant Wok . <br /> ^r ite dress DRIVEWAY <br /> 1'1C d 1110 b l�1. 7-940 TYPE QUANTITY WIDTHS <br /> Ci State-Zip Code <br /> AGRICULTURE @ FRONTAGE <br /> 2�4 -�y�-�► �► COIvflvlElzclAL <br /> (Area Code)Telephone INDUSTRIAL @ R/W <br /> RESIDENCE ✓ <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH_ Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to enc oach on County highway <br /> Right-of-Way on the side of <br /> City,State-Zip Code approximately O,2 3 feet/mile 'S4S of <br /> by installing t <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 /> �` <br /> A—Ter ApplFamOriveway.Paved frartage <br />