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COUNTY OF SAN JOAQUIN Date: <br /> Received by <br /> DEPARTMENT OF PUBLIC WORKS CR#—03 x 3 3 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> APPLICANT ISSUE DATE <br /> JOB#11005 FEE DUE /s6T- <br /> DRIVEWAYS: <br /> Imo.DATEr1ru # <br /> Address STREET R�vtr gad QUAD SU <br /> ^� ,�sGa/on <br /> <a` tyc J p Code TYPE DwY <br /> a5 ORMS ss�[wT-t& 17 <br /> (Area Code)Tel one OTE <br /> q `6�g <br /> SITE INFORMATION <br /> Parcel Owner' IIT �� <br /> rte ess r DRIVEWAY <br /> TYPE QUANTITY WIDTHS <br /> City,State- ip Code AGRICULTURE <br /> @FRONTAGE <br /> COMMERCIAL @ R/W <br /> (Area de)Telephone INDUSTRIAL <br /> (2 pR\ 0-3C -73—/7e./ RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH- Ft. X WIDTH: Ft. <br /> Name <br /> The undersigned hereby a lies for permission to e, oath on County Highway <br /> Address Right-of-Way on the side of <br /> approximately 01 3c) _ feet/® Wesr-- . <br /> Of Sdrr,/6 �__A <br /> City,State-Zip Code 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 /> AccessTer App\Fomi\DtivewayPaved frontage <br />