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COUNTY OF SAN JOAQUIN Dater/ g /oG <br /> DEPARTMENT OF PUBLIC WORKS Received —,Z✓3 <br /> DRIVEWAY AND PAVED FRONTAGES CR# 1 <br /> PERMIT APPLICATION <br /> APPLICANT <br /> OFFICE USE ONLY <br /> fF <br /> #11005 <br /> Name ISSUE DATE <br /> FtL - <br /> 5— O►vOCv FEE DUE <br /> LlesAd ess � •DATE ✓ DRIVEWAYS: <br /> AEET rAState-Zip Code EuTora QUADMS Ss/�=i Q-rArea Code)Telephone E <br /> ----------- <br /> C SITE II <br /> F <br /> ORMATION � . <br /> C__'1 C� Pcel s Na <br /> d j <br /> /^ ,Site Address <br /> `/�"' DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> CULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL <br /> RESIDENCE @° R/W_ _ <br /> CO CTOR PAVED FRONTAGE <br /> N <br /> � LENGTH: Ft X <br /> �Ll e(�r L WIDTH: Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> S 2 Right-of-Way on the,cA side of y <br /> City,State-Zip Code approximately <br /> y—.feet/mileIn .S'/W /er, of fdztt�ev Pa! <br /> (Area Code)Telephone -- by installing �y <br /> 7 `� � , � �, <br /> will 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 /> AccessTer APPTorm�DnvewayPaved fi-or"ge <br />