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COUNTY OF SAN JOAQUIN Date:i L <br /> DEPARTNENT OF PUBLIC WORDS Received by e <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0,?�/©f — <br /> PERAM APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> F?_ <br /> Name ISSUE DATE. <br /> FEE DUEAddress DRIVEWAYS: <br /> «�i ? <br /> EA <br /> City,State-Zi Code .X�li�lrF .� QUAD <br /> C. <br /> T <br /> YPE <br /> �hJ <br /> (Area Code Telephone <br /> SITE INFORMATION x/ <br /> ., 1 <br /> Parcel Owner's N e <br /> Site Address <br /> 95-3(0C DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY <br /> AGRICULTURE WIDTHS <br /> (Area Code)Telephone COMMERCIAL @ FRONTAGE <br /> INDUSTRIAL <br /> q0 :3 RESIDENCE @ R___ <br /> CONTRACTOR <br /> PAVED FRONTAGE <br /> Name LENGTH: Ft. X WIDTH: <br /> Ft. <br /> Address The undersigned hereby applies for <br /> Right-of-Way on the <br /> permissionto encr ch on County Highway <br /> City,State-Zip Code approximately_ S6 u�/i of y <br /> (Area Code)Telephone 'by installing D wy <br /> w111 commence on or about <br /> for approximately <br /> days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO <br /> YES Contractor's License <br /> Access\Per AppTorm0riveway2aved frontage <br />