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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS Received bycv-# _o 37.3 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> _ APPLICANT OFFICE USE ONLS'� <br /> Ltfe JOB# 11005 h ISSUI DATES <br /> Name APN/3/L - f� - �'� FEE DUE F c? <br /> 2 22l. SFAJOE L 1z.E> EXP.DATE DRPiEVAYS: <br /> x Address STREET�{fJ, <br /> e,4 �`c r, QUAD — <br /> City,State-Zip CodeTYPE — <br /> ORMS <br /> (Area Code)Telephone OTE <br /> -2 o5`s <br /> SITE� INFORMQTIOPj�.,s /vb /OiPE <br /> Parcel Owner's Name <br /> _ 22x53 /\,1 4?, /VJE/2 i2 <br /> rte Address <br /> ,.,t Ate <br /> DRIVEWAY <br /> City State-Zi Cade TYPE QUANTITY WIDTHS <br /> —2, <br /> SAGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> SIDENCE <br /> 1, _Q,ONVRACTOR PAVED FRONTAGE <br /> .4 LENGTH: Ft. X WIDTH: Ft. <br /> n Nre <br /> Address The undersigned hereby applies for permission to encroach on County Hi �y <br /> Right-of-Way on the YV �g k side of tel /.eiet Px <br /> City,State-Zipp Cade approximately feet/mile of <br /> J c l b 4�'Z ,by installing <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 /> Aoc—Tar ApplF—MrivewayPaved finotage <br /> r\. <br />