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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# 0-5 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB# 11005 ISSUE DATE <br /> Name APN ZV - 20 FEE DUE 40/00 <br /> EXP.DATE DRIVEWAYS: <br /> / Address STREET -petr, -poRb <br /> E 49 3 O Q'Pr`(-re N A-aLs ire- B Escni oti QUAD <br /> City,Statff f� Zip Code TYPE � �� bJFa y� <br /> G�O 1)ars To li q 3 S� FORMS <br /> (Area Code)Telephone NOTE <br /> 2� 5 2-1 L <br /> SITE INFORMATION <br /> Parcel Owner's Name / <br /> Site Address t <br /> s 7 d 1=�-- RD DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDTHS <br /> GRICULTURE @ FRONTAGE <br /> COMMERCIAL <br /> (Area )Telephone INDUSTRIAL @ R/W <br /> RESIDENCE X <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby allies for permission to encroach on County Highway <br /> Right-of-Way on the_J d4'1/1 side of De-,-k <br /> City,State-Zip Code approximately Bdo— mile Gag,? of C5"-G-lar? <br /> /�t�✓/vdo /�� ,by installing n jrti, <br /> (Area Code)Telephone <br /> 4 <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 /> Access\Per App\Form\Driveway?aved frontage <br />