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COUNTY OF SAN JOAQUIN Date: /` / -7 /Q!� <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# d 2 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 115 ISSUE DAUI <br /> Name APN a 3�- Flo©- a'& FEE DUE f 7� <br /> 7-6 m h rn nl�%, EXP.DATE DRIVEWAYS: <br /> (off fV Address STREET <br /> t bog NNW- QUAD <br /> ` City,State-Zip Code TYPE <br /> �[� 1n Ga C144,1> FORMS i? v <br /> (Area Code)Telephone OTE <br /> 5�� t�35 24r <br /> ci SITE INFORMATION <br /> Parcel Owner's Name <br /> 2t lAuTu nk- ad Rd <br /> Site Address <br /> �uY�c`1 CG q--)3d4 DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> 51b Loa 5 92Ai AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE j <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to enc/roach on County Highway <br /> Right-of-Way on the /Nor 4 side of M m",S/,W,/ eoLl <br /> City,State-Zip Code approximately feet/mile of /t653'on <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 AppTormOnvewayPaved frontage <br />