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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS ec ve b;3 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> J= APPLICANT OFFICE USE ONLY <br /> JOB#11005 _ ISSUE DATE <br /> Name APN 117 -,070 _ S z, FEE DUE /'o <br /> le T EXP.DATE DRIVEWAYS: <br /> Address STREET wi/Sen Nidi <br /> 4,d,-/ AREA S4-*ck4*n QUAD US <br /> City,State-Zip Code TYPE Co tn. Durj, <br /> TEa GKT , Cp , %S'?-Oq FORMS 5$ILOW <br /> (Area Code)Telephone C z - OTE CW-C/1 or C w-C r2 <br /> SITE INFORMATION A10 PAPE <br /> Parcel Owner'same <br /> �iO112£/[7 20PE'/27/ GGLp, <br /> to Ames DRIVEWAY <br /> / LlJ i SaYi f.11�- TYPE QUANTITY WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> j 7j c lC �'dr �jU ED,S' 2 <br /> (Area Code)Telephone O C <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 the side of <br /> City,State-Zip Code approximately ' f mile -Q,44 of <br /> ,by installing 2 &mPnitCW i2h,' <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 /> AoeessTer App\For O ivewayPaved frontage <br />