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COUNTY OF SAN JOAQUIN mate: c7 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> .DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLFCANT OFFICE USE ONLY <br /> e r`4k\ 6 JOB#t 11005 ISSUE DATE <br /> Name APN M- 0a - FEE DUE $0, o0 <br /> KEXP.DATE DRIVEWAYS: <br /> Address STREET �HE,PJJ )ep- <br /> Adz ZI-0J QUAD _ <br /> City,State-Zip Code rTYPEMIS <br /> 722 <br /> (Area Code)Telephone —� <br /> SITE INFORMATION /LSU /D/�e - <br /> Parc of Ownpes N <br /> J <br /> Site Address, <br /> DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY- WIDTHS <br /> Z 2 p`1 3 _ AGRICULTURE (a3 FRONTAGE <br /> (Area )Telephone COMMERCIAL <br /> USTRIAL @ R/W <br /> RESIDENCE — <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIE 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 5'og17-,r� side of ZP. <br /> City,State-Zip Code approximately �Y �mile q 5 of /�� <br /> I21✓�,2s ,eD, .by installing Z>4-J <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate shoot may be submitted) <br /> Will this project be self-installed? _ NO YES Contractor's License <br /> Aooess�Per ApplFormlDrivewayYavod&notage <br />