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COUNTY OF SAN JOAQUIN Dee: <br /> DEPARTMENT OF PUBLIC WORKS Reocived by <br /> CR#_13 0 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> [g=11')AP1PL1qANTOFFICE USE ONLY <br /> A JOB#11005 ISSUE DAf <br /> Name ApN i-71 - j Loa_ 32 FEE DUE /�T <br /> / a C(Q(/e" " EXP.DATE OG D DRIVEWAYS: <br /> n ovE� <br /> C <br /> J�JG jyl AdSTREET. `�cJO�(��PAREA 5ih-�A/ QUA <br /> City,State-Zip Code TYPE *— <br /> X0 ,c,C 7-dam ORMS �7 <br /> (Area Code)Telephone OTE <br /> f�C"JCl7 CI�Jer �-h e <br /> 1 Site ddress 95 DRIVEWAY <br /> Q `� TYPE QUANTITY WIDTHS <br /> City,State-Zip Code GRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> SIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> The undersigned hereby applies for permission to encroach on County Highway <br /> Address <br /> Right-of-Way on the side of �.'�ewr .a. <br /> City,State-Zip Code approximately .3$0 /mile we s i- of <br /> 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 /> AccessTer AppwormorivewayPaved frontage <br />