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` COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES cR# r!) 309 33 <br /> PERMIT APPLICATION <br /> APPL,C�T OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APNDZ/ - Zoo - 75- FEE DUE <br /> L+ 5 e,,e ±A, EXP.DATE DRIVEWAYS: <br /> Address STREET �1,�rr/v ,Qat, <br /> 014P..P-�4,1 +--K �'�-y'7 AREA — ��� fs—QfJAD NE <br /> City,State-Zip Code TYPE �uiN <br /> �-0 �2— 3 27 S 3 9 C/ FORMS SS/cr,ou kP/7 <br /> (Area Code)Telephone OTE --� <br /> SITE INFOgMnATION <br /> Parcel Owners Name <br /> Site A dress J <br /> DRIVEWAY <br /> Qin ^ <br /> City,State-Zip Code — T TYPE QUANTITY WIDE <br /> (�^ �L yr 7 4�7 S� AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> 19DUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: 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 L 6 n y <br /> City,State-Zip Code approximately Sov /mile �G.g�, 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 Apfform\DrivewayPaved frontage <br />