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COUNTY OF SAN JOAQUIN Date: Ie—/ (3 <br /> DEPARTIIffiNT OF pUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# 7F> 9 <br /> 7 PERMIT APPLICATION <br /> J <br /> � <br /> " pl C' JOB# 11 OS OSCE USE ONLY <br /> e LP N _ /�� t� ISSUE DA <br /> �C U v / '�— FEE DUE <br /> Address EXP.DATF,. DRIVEWAYS: <br /> m STREET <br /> AREA <br /> City,State-Zip Code TYPE QUAD— Iq <br /> ~ a ORMS <br /> (Area Code)Telephone OTE <br /> SITE INFORMATION <br /> / G _ <br /> Parcel Owner's Name <br /> .Z /7 , )u7- r , <br /> Site A dress <br /> FDRrVEWAYCity,State-Zip Code QUANTTTY WIDTHS <br /> @FRONTAGE <br /> (Area Code)Tel hoe MMERCIAL <br /> INDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACT/OR 1` AVED FRONTAGE <br /> EE-_::-7:�77Ft. X WIDTH. Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on CountyHighway <br /> Right-of-Way on the u/P t� side of �� C �� S�Fen f <br /> City,State-Zip Code approximately 2oa /mile /h of <br /> —_--- in uYinu e <br /> by installing D ri <br /> (Area Code)Telephone <br /> will commence on or about for approximatelyWork <br /> days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? .NO YES Contractor's License <br /> Acc+ess\Per AppTorm\Dnveway.Paved frontage <br />