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COUNTY OF SAN JOAQUIrI <br /> DEPARTMENT OF PUBLIC WORKS 12 R#°ems 0 3 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERM APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#I 11005 ISSUE.DATE <br /> N APN 101 - oZZ - Cad FEI3 DUE �BD <br /> EXP.DATE DF;NEWAYS: <br /> Address STREET SYx zk-W_ 4V <br /> 16&-iQ- 6 STo!rz� QUAD t.l�— <br /> City,State-lip Code TYPE <br /> !L) FORMS— -AT 17 —_— <br /> (Area Code)Telephone NOTE <br /> 43j•,3� �a � <br /> SITE INFORMATION /2 .9 <br /> pY � <br /> arcy' ,gName,,,,� <br /> Site Address <br /> y3 E� 1X ©eWL DRIVEWAY <br /> City, e- i Code TYPE QUANTITY WIDTHS <br /> 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 an the ;5as f side of Snyder Load <br /> City,State-Zip Code approximately D,45 feet/® 6o0A/ of Sy, A!�q <br /> 8A ,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 /> Acc=\Per App\Fomm\DrivewayNved&natage <br />