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COUNTY OF SAN JOAQUIN Date: 8 1-3( / 04. <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> o <br /> DRIVEWAY AND PAVED FRONTAGES cR#D <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB*11005 ISSUE DATE / / <br /> -^� Name APN 06,3 - izo - C<v FEE DUE /8o 00 <br /> �7 .C—.1JT (i�orT.lE�.tliV C1»? EXP.DATE DRIVEWAYS: <br /> Address STREET �isT �t/tom Xc> <br /> ( S d 494457�°�. G ?iP_ ter QUAD /V6 <br /> City,State-Zip Code TYPE <br /> (A - 5'SZyz_ FORMS <br /> (Area Code)Telephone NOTE <br /> (204) 33:1 - 9 O <br /> SITE INFORMATION <br /> o�3 /20 - 06, NO /0//'C <br /> Parcel Owner's Name <br /> 6, &INNT art/C Edo, <br /> Site Address <br /> STacx-raw rA 95Z/2 DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> X20-o 8(0 — t/Sy.( AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> 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 encroach on County Highway <br /> Right-of-Way on e Adgtl-h side of .Fsi;.4f Mle <br /> City,State-Zip Code approxtmately O.70 feet ASPSA' of S;L, AMY <br /> Ne. 99 by installing A2u&v. <br /> (Area Code)Telephone <br /> will commence on or about for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> Aecess\P-ApplForm\Driv—.y.P ve f=tage <br />