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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 030 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> 171'et/c!�, � 77�f r r JOB#11005 ISSUE DATE <br /> Ne / APN O!�-3- ?�O- FEE DUE <br /> /2-37 / C 7Q r n e y f-+'S, EXP.DATE DRIVEWAYS: <br /> r Address q �(/J� STREET A <br /> 6�---CA ! TAREA aD/ QUAD 6 <br /> City,State-Zip Code TYPE <br /> .Zo o ' 3 �e s —/ 112– FORMS <br /> (Area Code)Telephone NOTE T <br /> SITE INFORMATION <br /> Parcel Owner's Name / <br /> to Address <br /> 1 k� I .e DRIVEWAY <br /> ity,State-Zip Code TYPE QUANTITY WIDTHS <br /> AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby ap lies for permission to en��yy��oach on County Highway <br /> Right-of-Way on the side of ffRpmal Ldyt <br /> City,State-Zip Code approximately 0, 7S feet/W sf of .9.fJr V �Qk. 013 <br /> by installing ((L� <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 AppTorm0rivewayPaved frontage <br />