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COUNTY OF SAN JOAQUIN Date: 7 ' .;�< : 0�,Received by <br /> DEPARTMENT OF PUBLIC WORKS CR#-L&0`5(:� <br />\ DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> AP LICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> _ y� FEE DUE <br /> Name APN ao 5 - ASO DRIVEWAYS: <br /> EXP.DATE s <br /> _ Address / STREET <br />/L � _ QUAD N& <br /> y Z U I h �T ` 1 /VYt,�J t7. Q s <br /> City,State-Zip Code TYPE <br /> 67 4 L'T" (-, S a 3 FORMS - t <br /> (Area Code)Telephone NOTE <br /> SITE INFORMATION l.Z pi p'e- <br /> Parcel Owner's Name <br /> Site Address DRIVEWAY <br /> 2 - 72 Li v T TYPE QUANTITY WIDTHS <br /> Crty,State-Zrp Code AGRICULTURE @ FRONTAGE <br /> COMMERCIAL <br /> (Area Code)Telephone INDUSTRIAL@ R/V�I <br /> RESIDENCE368 'A <br /> ✓ <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH' Ft. X WIDTH: Ft. <br /> Name <br /> The undersigned hereby applies for permission to n fah'�Sh` ay <br /> Address Right-of-Way on the side of <br /> approximately 0.4! feet F4 f- Of s f 99 <br /> City,State-Zip Code by juggling <br /> (Area Code)Telephone <br /> Work <br /> will commence on or abort for approximately- days- <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? __NO YES Contractor's License <br /> AooessTer AppTormOrivewayPaved&odage <br />