Laserfiche WebLink
COUNTY OF SAN JOAQUIN If Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# a 30 <br /> D.'RIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> ` ppp�C OFFICE USE ONLY <br /> � Q lYli I�14��2_ JOB#11005 ISSUE DATE/I LP_/0,C <br /> N?MC x,20 , N�- 190 - :59 FEE DUE — <br /> a EXP.DATE !1 OC O DRIVEWAYS: <br /> d ess STREET fr' y /40ur <- 'ea <br /> 01SLILD AREA AcgMF QUADIZ7 _ <br /> FORMS ST,, k-17 <br /> Stat.�i0. TYPE D" <br /> v ► ` (Area Code)(T`elleeph`oonne NOTE <br /> SITE INFORNtn- 5 �� f D� <br /> i ' / <br /> P 1 s Name <br /> S'a Addie sSZZ�=� DRIVEWAY <br /> P�Cav,n�� <br /> tate- i Code TYPE QUANTITY WIDTHS t� <br /> A ^ AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> USTRIAL @ R/W <br /> IRESIDENCE <br /> ` CONTRACTOR PAVEDFRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Aess� The undersigned hereby applies for permission to encroach on County Highway <br /> dr <br /> �V1/10 Right-of-Way on the --Ia s� side of Acd <br /> ' tate-Zi �odg_ approximately feet/mile /n iw of f- <br /> ��_ ., jj,� l j, ,by installing <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) uS� <br /> e 1�Sfi►-� <br /> Will this project be self-installed? NO �YES Contractor's License <br /> AccessTer ApplFormlDrivewayPaved frontage <br />