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DEPARTiv1ENT OF PUBLIC WORKS Received by_,1BCR# 0150-70B <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> PLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> APN 0/-;L - Z(0 _ 2 3 FEE DUEO/80 <br /> EXP.DATE DRIVEWAYS. <br /> Address STREET TELTt t e r� _ <br /> AwJ)0 01 AREA AC-AMFb QUAD ,vE <br /> City,State-Zip Code TYPE 7:>L� <br /> 7-47-1 FORMS 2- 17 <br /> (Area Code)Telephone NOTE —� <br /> ©(SITE II4FORMOATI�JN <br /> y� arcelO s Jame r <br /> t <br /> Si 'ss <br /> DRIVEWAY <br /> ity,State-Zip Code TYPE QUANTITY. WIDTHS <br /> -� e L AGRICULTURE @ FRONTAGE <br /> (Arca Code)Telephone COMMERCIAL <br /> USTRIAL @ R/W <br /> IRESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTIT 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 side of "LeG7";,6 4 <br /> City,State-Zip Code approximately 1000 mile W E s r of E'Lc4 mr <br /> A?Z>. ,by installing -P W <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 /> Aoo=Ter App\Focm\DnvewayPaved f loge <br />